How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A client receives a prescription for 500 mL of lactated Ringer's IV to be infused over 4 hours. The IV administration set delivers 20 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.)
Answer and Explanation

The Correct Answer is ["42"]

Flow rate (gtt/min) = (Total volume× Drop factor)/Total time

                            = (500×20)/240

                            = 1000/240

= 41.67, round off to the nearest whole number

= 42

Thus, the nurse should regulate the infusion at 42 gtt/min.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is ["B","E","F"]

Explanation

A. Serum blood glucose 185 mg/dL (10.2 mmol/L) (Incorrect): Although lower than the previous reading, it is still elevated, which can impair healing and increase the risk of infection recurrence.
B. Temperature 98.8°F (37.1°C) (Therapeutic Response): A return to a normal temperature indicates resolution of systemic infection. Fever is a sign of active infection, so its absence suggests improvement.
C. White blood cell count 11.2 x 10³/μL (11.2 x 10⁹/L) (Incorrect): This is slightly elevated, which may indicate residual inflammation or infection. A further decrease would be expected for full resolution.
D. Capillary refill greater than 3 seconds bilateral lower extremities (Incorrect): Delayed capillary refill suggests impaired circulation, which is not an indicator of a fully therapeutic response.
E. Bilateral lower extremities skin warm, dry, and pink (Therapeutic Response): Improved skin condition suggests reduced inflammation, better circulation, and healing of the cellulitis-affected area.
F. Pain 2 on a 0 to 10 pain scale, bilateral lower legs described as neuropathic (Therapeutic Response): Pain related to cellulitis typically improves with treatment. If the remaining pain is neuropathic, it suggests resolution of the acute infection.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

Shower daily with antibacterial soap (Prevents Future Cellulitis): Keeping the skin clean reduces bacterial load and prevents infections.

Complete full course of antibiotic therapy (Prevents Future Cellulitis & Promotes Healing): Ensuring all bacteria are eradicated helps prevent recurrence and allows the infection to resolve fully.

Refrain from sharing towels and razors (Prevents Future Cellulitis): These items can spread bacteria, increasing the risk of reinfection.

Eat foods rich in protein and vitamin C (Promotes Healing): These nutrients aid in tissue repair and immune function, supporting recovery from cellulitis.

Wash hands before and after touching open wounds (Prevents Future Cellulitis & Promotes Healing): Proper hygiene prevents the spread of bacteria and reduces the risk of secondary infections.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register