A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads:
Accucheck every 6 hours
BG 0-180 mg/dL no coverage
BG 181 mg/dL-240 mg/dL 2 units subcutaneously
BG 241 mg/dL-300 mg/dL 4 units subcutaneously
BG 301 mg/dL-400 mg/dL 6 units subcutaneously
BG 400 mg 8 units subcutaneously and call the physician
At 11 am, the patient/client's Accucheck reading was 242 mg/dL. How many units of Humulin R insulin would the patient/client receive?
A) 2 units subcutaneously
B) 4 units subcutaneously
C) 6 units subcutaneously
D) 8 units subcutaneously and call the physician

Question

A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads:
Accucheck every 6 hours
BG 0-180 mg/dL no coverage
BG 181 mg/dL-240 mg/dL 2 units subcutaneously
BG 241 mg/dL-300 mg/dL 4 units subcutaneously
BG 301 mg/dL-400 mg/dL 6 units subcutaneously
BG >400 mg 8 units subcutaneously and call the physician
At 11 am, the patient/client's Accucheck reading was 242 mg/dL. How many units of Humulin R insulin would the patient/client receive?
A) 2 units subcutaneously
B) 4 units subcutaneously
C) 6 units subcutaneously
D) 8 units subcutaneously and call the physician

Quizplus · Accepted Answer

The nurse gives the ordered insulin according to the results of the Accucheck. The Accucheck was 242 mg/dL. Therefore, the nurse would "cover" the patient/client with 4 units of Humulin R insulin.

A Patient/client Has a Sliding Scale for Insulin Dosage