A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV infusion pump to deliver how many mL/hr to administer half the total volume in the first 8 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 ["255"]

Step 1: Calculate half the total volume. The total volume is 4,080 mL. So, half the total volume is 4,080 mL ÷ 2 = 2,040 mL.

Step 2: Calculate the rate to administer half the total volume in the first 8 hours. So, the rate is 2,040 mL ÷ 8 hr = 255 mL/hr.

Therefore, the nurse should set the IV infusion pump to deliver 255 mL/hr to administer half the total volume in the first 8 hr.

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Correct Answer is D

Explanation

A. Incorrect. Releasing the tourniquet is a step that can be taken after advancing the catheter into the vein.

B. Incorrect. Retracting the stylet at this point could disrupt the position of the catheter and cause leakage or damage.

C. Incorrect. Flushing the catheter with saline is an appropriate step after ensuring the catheter is correctly placed in the vein.

D. Correct. After noting a blood return in the flashback chamber, the next step is to advance the catheter into the vein to ensure proper placement for intravenous access.

A. Metallic taste in the mouth B. Excessive sweating C. Increased urinary frequency D. Dry cough

Correct Answer is B

Explanation

A. Incorrect. A metallic taste in the mouth is not a common adverse effect of sertraline.

B. Correct. Excessive sweating (diaphoresis) is a potential adverse effect of sertraline and other selective serotonin reuptake inhibitors (SSRIs).

C. Incorrect. Increased urinary frequency is not commonly associated with sertraline.

D. Incorrect. A dry cough is not a known adverse effect of sertraline.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a peripheral IV catheter. After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?

Correct Answer is D

Explanation

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Correct Answer is B

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