A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["21"]
To calculate the flow rate in gtt/min, you can use the formula: (Volume in mL * Drop factor) / Time in
minutes.
For 1 L of lactated Ringer's IV, which is 1000 mL, to be infused over 12 hours, with an IV administration set that delivers 15 gtt/mL, the calculation would be: (1000 mL * 15 gtt/mL) / (12 hours * 60 minutes/hour).
This simplifies to (15000 gtt) / (720 minutes), which equals approximately 20.83 gtt/min.
Therefore, the nurse should regulate the infusion to 21 gtt/min, rounding to the nearest whole
number.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
Convert pounds to kilograms.
- 1 pound = 0.453592 kilograms
- 132 pounds * 0.453592 kg/pound = 59.87 kilograms
Step 2: Calculate the total dose in micrograms.
- 44 micrograms/kilogram * 59.87 kilograms = 2635.08 micrograms
Step 3: Convert micrograms to milligrams.
- 1 milligram = 1000 micrograms
- 2635.08 micrograms / 1000 micrograms/milligram = 2.63508 milligrams
Step 4: Calculate the volume to be administered.
- Concentration of lorazepam = 2 milligrams/milliliter
- Volume = Dose / Concentration
- Volume = 2.63508 milligrams / 2 milligrams/milliliter = 1.31754 milliliters
Therefore, the nurse should administer approximately 1.3milliliters of the lorazepam solution.
Correct Answer is ["A","B","C","D"]
Explanation
Rationale
The client is experiencing significant psychological distress characterized by intrusive thoughts and memories related to the traumatic event (house collapsing during a hurricane). These thoughts are causing her difficulty in falling asleep and impacting her emotional well-being. Her statement about feeling unable to get out of a "funk" suggests that she may be experiencing symptoms of acute stress or post-traumatic stress disorder (PTSD). It's crucial to address her psychological distress promptly to provide support and prevent exacerbation of her symptoms.
Sleep Difficulties: The client requests sleeping medication due to her difficulty in falling asleep. Sleep disturbances are common after experiencing a traumatic event and can further contribute to emotional distress and hinder recovery. It's important to assess her sleep patterns and consider appropriate interventions, such as pharmacological sleep aids under medical supervision, to help her achieve adequate restorative sleep.
Environment: The client expresses a preference for a quieter area of the unit away from constant noise (talking and alarms). Hospital environments can be noisy and disruptive, which can exacerbate anxiety and sleep difficulties. Ensuring she is in a quieter environment or making adjustments to minimize noise near her can improve her comfort and facilitate better sleep, which is essential for recovery and emotional well-being.
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