A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?

Answer and Explanation

The Correct Answer is ["37.5"]

Drip rate (drops per minute) = (Volume to be infused (mL) x Drop factor) / Time (minutes)

3 hours = 3 * 60 = 180 minutes
Drip rate = (450 mL x 15 drops/mL) / 180 minutes Drip rate = 6750 / 180
Drip rate = 37.5 drops per minute
Therefore, the nurse should regulate the IV at a rate of 37.5 drops per minute.

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Correct Answer is C

Explanation

A. While skipping meals can affect blood glucose levels, it is not a direct primary cause of DKA. In some cases, if a person with Type 1 diabetes skips a meal and does not adjust their insulin accordingly, it could lead to hyperglycemia. However, the absence of insulin is the critical factor in DKA.
B. Gastrointestinal disturbances, such as vomiting or diarrhea, can contribute to DKA by leading to dehydration and altering insulin absorption. However, they are not primary causes. The main concern is that they may cause the individual to skip insulin or not manage their diabetes effectively.
C. DKA is primarily caused by a lack of insulin, which leads to the body breaking down fat for energy instead of glucose. This process produces ketones, which can accumulate and lead to acidosis. For individuals with Type 1 diabetes, consistently taking insulin is crucial to prevent DKA.
D. An insulin overdose can lead to hypoglycemia, not DKA. When too much insulin is taken, it can cause blood glucose levels to drop too low, which is the opposite of what occurs in DKA.

A. Instruct the client how to perform biofeedback exercises B. Place the client's residual limb in the dependent position C. Explain to the client his left leg has been amputated D. Medicate the client with narcotic analgesic immediately

Correct Answer is D

Explanation

A. While biofeedback can be a helpful technique for managing pain in the long term, it is not an immediate intervention for acute pain. The client is expressing urgent pain that requires prompt action, so this option does not address the immediate need.
B. Placing the residual limb in a dependent position (below the level of the heart) can increase swelling and may worsen the pain. After surgery, the limb should typically be elevated to minimize swelling, especially in the early postoperative period.

C. While it is important for clients to understand their situation, explaining the amputation does not provide immediate relief for acute pain. The client is likely already aware of the amputation and is in distress, so this option is not a priority at this moment.
D. This is the most appropriate intervention. The client is experiencing significant pain, and administering a narcotic analgesic can provide immediate relief. Pain management is a priority in the postoperative setting, especially in the first few hours after surgery.

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A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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