The patient's blood sugar level was 152 mg per dL at 1700 hr. How much insulin should be given using the following insulin sliding scale?

2 units.

3 units.

4 units.

5 units.

Answer and Explanation

The Correct Answer is C

Choice A rationale

2 units is insufficient to bring down a blood sugar level of 152 mg/dL adequately. According to the sliding scale, 2 units typically lower blood sugar by 50-60 mg/dL, which might not be enough for this level.

Choice B rationale

3 units might reduce blood sugar by approximately 75-90 mg/dL. However, this reduction may not be adequate to bring the blood sugar level within the target range, depending on individual response to insulin.

Choice C rationale

4 units of insulin are suitable for a blood sugar level of 152 mg/dL. Generally, 1 unit of insulin lowers blood sugar by 30-50 mg/dL. Administering 4 units should ideally lower the blood sugar level to the desired range.

Choice D rationale

5 units of insulin could result in an excessive drop in blood sugar levels. It could reduce the blood sugar level by 150-200 mg/dL, which might risk hypoglycemia, making it an unsuitable choice for a blood sugar level of 152 mg/dL.

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Correct Answer is A

Explanation

Choice A rationale

Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.

Choice B rationale

Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.

Choice C rationale

Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.

Choice D rationale

Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.

A. Magnesium sulfate. B. Tranexamic acid. C. Betamethasone. D. Terbutaline.

Correct Answer is B

Explanation

Choice A rationale

Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.

Choice B rationale

Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.

Choice C rationale

Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.

Choice D rationale

Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.

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The patient's blood sugar level was 152 mg per dL at 1700 hr. How much insulin should be given using the following insulin sliding scale?

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Naxlex Comprehensive Predictor Exams

A nurse is following up with a client at 12 weeks gestation who was seen for genetic counseling but decided not to proceed with genetic testing or any further genetic counseling. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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