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A nurse is administering a unit of RBC 350 mL over 3hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["117"]

The total volume of the blood transfusion is 350 mL. The transfusion is to be administered over 3 hours.

To find the mL per hour, we'll divide the total volume by the total time:

Flow rate (mL/hr)=Total time (hr)Total volume (mL)

Flow rate (mL/hr)=3 hr350 mL

Flow rate (mL/hr)=116.666... mL/hr

Rounding to the nearest whole number, the nurse should set the IV pump to deliver 117 mL/hr.

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Correct Answer is ["B","D"]

Explanation

A: The client's SpO2 is 95%, which is within an acceptable range, so oxygen therapy is not required at this time.
B: The client has a mild fever (37.8°C), and acetaminophen is indicated to help manage fever and improve comfort.
C: There is no indication of bowel obstruction or complications that would require an NG tube for decompression at this time.
D: The wound drain has had no output in 8 hours, which could indicate a blockage or other issue, warranting evaluation by the provider.
E: There is no indication of urinary retention or issues that would necessitate the insertion of a urinary catheter at this time.

A. "You never follow your treatment plan, so there's no point in discussing it." B. "I think you should take your medication, but it's up to you." C. "You need to take your medication as prescribed or else your condition will worsen." D. "It's okay if you don't want to take your medication, I understand."

Correct Answer is C

Explanation

A: This statement is accusatory and non-collaborative, which can lead to defensiveness and hinder communication.
B: While offering some flexibility, this statement lacks assertiveness. It does not make clear the importance of taking medication as prescribed.
C: This is an example of assertive communication. The nurse clearly and respectfully communicates the importance of following the treatment plan while outlining the consequences of non-compliance.
D: This response is overly passive and does not address the importance of medication adherence, nor does it encourage the patient to follow the prescribed plan.

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A nurse is administering a unit of RBC 350 mL over 3hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

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