Hesi lpn exit proctored exam
Calculation
A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are: O units for finger stick glucose less than 170 mg/dL; 5 units for finger stick glucose 171 to 219 mg/dL; 10 units for finger stick glucose 220 to 269 mg/dL; 15 units for finger stick glucose 270 to 300 mg/dL. Call healthcare provider for finger stick glucose greater than 300 mg/dL. The client's 0730 finger stick glucose is 271 mg/dL. What is the total amount of insulin this client should receive? (Enter numeric value only.)
units
Explanation & Rationale
Insulin dose calculation NPH insulin = 25 units (scheduled). Sliding scale for 271 mg/dL = 15 units. Total dose = 25 + 15 = 40 units.
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