A client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows:
Accuchecks every 6 hours
BG 0180 mg/dL no coverage
BG 181 mg/dL240 mg/dL 2 units subcutaneously
BG 241 mg/dL300 mg/dL 4 units subcutaneously
BG 301 mg/dL400 mg/dL 6 units subcutaneously
BG > 400 mg 8 units subcutaneously and call the physician
At 11 AM the client's Accucheck reading was 242 mg/dL. How many units of Humulin R insulin would the client receive?
A) 2 units subcutaneously
B) 4 units subcutaneously
C) 6 units subcutaneously
D) 8 units subcutaneously and call the physician
Question 2
The nurse has to administer Humulin R 18 units subcutaneously and NPH 35 units subcutaneous daily at 7:30 AM.
What is the correct order for drawing up these medications?
1) Inject into the Humulin R vial 18 units of air
2) Inject into the NPH vial 35 units of air
3) Withdraw 18 units of Humulin R insulin
4) Withdraw 35 units of NPH insulin
A) 1, 2, 3, 4
B) 1, 2, 4, 3
C) 2, 1, 3, 4
D) 2, 1, 4, 3
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