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    HESI PN EXIT Proctored Exam 2
    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:. 0 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

    To determine the total amount of insulin the client should receive, we need to add the prescribed dose of NPH insulin to the dose of insulin aspart according to the sliding scale. 1. Determine the sliding scale dose: The client's finger stick glucose at 0730 is 271 mg/dL. According to the sliding scale parameters: Finger stick glucose = 271mg/dL => Sliding scale dose = 15 units of insulin aspart 2. Add the prescribed NPH insulin dose: The prescription for NPH insulin is 25 units before breakfast. 3. Calculate the total insulin dose: Total insulin dose =NPH insulin dose + Sliding scale dose Total insulin dose= 25 units + 15units = 40 units Thus, the total amount of insulin the client should receive is 40 units.

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