A malnourished patient has an order for 500 mL of Intralipid 10% to be infused over 6 hours. How many milliliters per hour should the IV pump be programmed for? Whole number.
The Correct Answer is ["83"]
Determine the total volume to be infused:
The order is for 500 mL of Intralipid 10%.
Determine the total time for the infusion:
The infusion time is 6 hours.
Calculate the rate in milliliters per hour:
Use the formula: Rate= Total Volume ÷Time (hours)
Substituting the given values:
Rate = 500 Ml ÷ 6 hours
= 83.33 mL/hour
Round to the nearest whole number:
83.33 mL/hour rounded to the nearest whole number is 83 mL/hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
a) Mechanically altered: A mechanically altered diet includes foods that are chopped, mashed, or ground, which makes them easier to chew and swallow, especially for patients with poorly fitting dentures who may have difficulty chewing solid foods.
b) Clear liquid: While a clear liquid diet may be appropriate for certain conditions, it does not provide enough nutrition or texture modifications for a patient with denture issues who needs something more substantial.
c) Honey-like liquids: Honey-like liquids are thicker than normal liquids and are used for patients with swallowing difficulties, not for those with poorly fitting dentures.
d) Full liquid: A full liquid diet consists of liquids that are in a liquid form at room temperature, but it may not address the chewing issues a patient with dentures might face with certain foods.
Correct Answer is B
Explanation
a) Auscultate breath sounds: While auscultating breath sounds may reveal signs of aspiration (e.g., crackles), stopping the feedings is the immediate priority to prevent further aspiration and reduce the risk of complications like aspiration pneumonia.
b) Stop the feedings: The highest priority is to stop the enteral feedings immediately to prevent further aspiration and potential damage to the lungs, followed by further assessments.
c) Obtain a chest x-ray: A chest x-ray can confirm the presence of aspiration or pneumonia but is not the immediate priority. Stopping the feedings is more urgent.
d) Initiate antibiotic therapy: Antibiotics may be needed if aspiration pneumonia is suspected, but they should not be the first intervention. Stopping the feedings and assessing the patient should be done first.
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