A client is ordered to receive a bolus of 200 mL of NSS in 25 minutes. At what rate should the nurse set the IV pump?

Answer and Explanation

The Correct Answer is ["480"]

To calculate the infusion rate, you need to determine the total volume to be infused and the time over which it will be infused.

Total volume to be infused = 200 mL

Time for infusion = 25 minutes

Infusion rate = Total volume / Time Infusion rate = 200 mL / 25 minutes = 8 mL/min

To convert this to mL/hour (since infusion pumps are typically set in mL/hour): Infusion rate = 8 mL/min × 60 minutes/hour = 480 mL/hour

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Correct Answer is C

Explanation

A. The client is retaining fluids and will need a fluid restriction: While fluid retention can occur with certain medications, the specific symptoms of tingling lips and edema suggest a different issue, making this option less relevant.

B. The client has developed an expected side effect of the medication: Tingling of the lips and lip edema are not typical expected side effects of losartan. This medication can cause side effects like dizziness or hypotension, but angioedema is a serious concern that can occur.

C. The client is experiencing angioedema and notifies the healthcare provider: This is the most appropriate interpretation of the symptoms. Angioedema is a potentially serious allergic reaction that can occur with medications such as losartan, which is an angiotensin II receptor blocker. Immediate notification of the healthcare provider is crucial for further evaluation and management.

D. The client will need to have the dose of the medication reduced: While reducing the dose might be considered in some cases of side effects, the symptoms described indicate a potentially severe reaction that requires immediate attention rather than simply adjusting the dosage.

A. Your blood pressure reflects how strong your heart muscle contracts." B. "If you feel good your medication is working properly" C. "Even if you are feeling good, damage can occur to your heart and kidneys." D. "Have you told your doctor that you are feeling good?"

Correct Answer is C

Explanation

A. Your blood pressure reflects how strong your heart muscle contracts: This statement oversimplifies the complexities of blood pressure and doesn't directly address the client's misunderstanding about the implications of hypertension.

B. "If you feel good your medication is working properly": While this may be true, it fails to convey the importance of monitoring blood pressure, regardless of symptoms. It might lead the client to believe that feeling well means there are no health concerns.

C. "Even if you are feeling good, damage can occur to your heart and kidneys": This response is the most appropriate as it emphasizes that hypertension can cause silent damage over time, even in the absence of symptoms. It educates the client about the potential long-term consequences of uncontrolled hypertension.

D. "Have you told your doctor that you are feeling good?": While it encourages communication, it does not provide useful information or address the client’s misconceptions about hypertension and its risks.

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A client is ordered to receive a bolus of 200 mL of NSS in 25 minutes. At what rate should the nurse set the IV pump?

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Naxlex Comprehensive Predictor Exams

The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. Noting that the client's lips are edematous, the nurse recognizes that the client is experiencing which issue?

Correct Answer is C

Explanation

The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

Correct Answer is C

Explanation

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