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.)
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Painful sunburn is uncomfortable but not urgent.
B: Toddler with laceration and screaming may be distressing, but not life-threatening.
C: Belligerence and slurred speech may suggest intoxication or neurological concern, but not as emergent as potential cardiac ischemia.
D: This client could be experiencing a myocardial infarction (MI), which often presents as epigastric pain and diaphoresis in men. It is a life-threatening emergency.
Correct Answer is ["B","D","E","G","I"]
Explanation
A. Pain is important but not a priority unless the cause of AKI is due to an obstruction.
B. Neurological status is critical because toxin buildup (uremia) can affect cognition and cause confusion or lethargy.
C. GI assessment is less critical in the initial evaluation.
D. Blood pressure and heart rate are essential to assess for fluid volume status and perfusion.
E. Skin integrity and edema give insight into fluid retention, a common issue in AKI.
F. Psychosocial assessment is important but not urgent in the acute setting.
G. Urinary output and color directly reflect kidney function and the effectiveness of perfusion.
H. Nutritional status is relevant but not a top priority during the initial phase of AKI.
I. Respiratory status is prioritized because fluid overload can cause pulmonary edema and respiratory distress.
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