A regular insulin IV bolus dose is prescribed at 0.1 unit/kg for a client weighing 277 lbs. How many units should be administered, rounded to nearest whole number?

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Multiple Choice

A regular insulin IV bolus dose is prescribed at 0.1 unit/kg for a client weighing 277 lbs. How many units should be administered, rounded to nearest whole number?

Explanation:
Dosing based on body weight uses kilograms, not pounds. Convert the patient’s weight: 277 lb ÷ 2.2046 ≈ 125.6 kg. Multiply by the prescribed rate: 125.6 kg × 0.1 unit/kg = 12.56 units. Since insulin doses are given in whole units, round to the nearest whole unit: 13 units. Therefore, the appropriate bolus is 13 units.

Dosing based on body weight uses kilograms, not pounds. Convert the patient’s weight: 277 lb ÷ 2.2046 ≈ 125.6 kg. Multiply by the prescribed rate: 125.6 kg × 0.1 unit/kg = 12.56 units. Since insulin doses are given in whole units, round to the nearest whole unit: 13 units. Therefore, the appropriate bolus is 13 units.

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