A nurse is preparing to administer 0.45% NaCl 250 mL IV to infuse over 90 minutes. The drop factor of the manual IV tubing is 15 gtt/mL. What is the flow rate in gtt/min? (Round to the nearest whole number & fill in the blank with the numerical value only)
The Correct Answer is ["42"]
Total volume to be infused = 250 mL
Total infusion time = 90 minutes
Drop factor = 15 gtt/mL
- Calculate the flow rate in drops per minute (gtt/min):
Flow rate (gtt/min) = (Total volume (mL) × Drop factor (gtt/mL)) / Total infusion time (minutes)
= (250 mL × 15 gtt/mL) / 90 minutes
= 3750 gtt / 90 minutes
= 41.666... gtt/min
- Round to the nearest whole number:
Rounded flow rate = 42 gtt/min
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. "I should avoid antitussives if I have a productive cough with mucus.": Antitussives can inhibit the body’s ability to clear mucus when coughing is suppressed. In the case of a productive cough, clearing secretions is essential to prevent airway obstruction and secondary infections.
B. "Antitussives are helpful in clearing mucus from my lungs during a productive cough.": Antitussives reduce the cough reflex and do not aid in mucus clearance. Their use during a productive cough can lead to mucus retention, worsening congestion and increasing the risk of complications such as pneumonia.
C. "Using antitussives for a productive cough can lead to mucus buildup in my airways.": Suppressing a productive cough prevents the expulsion of mucus, which can accumulate in the lungs. This can impair gas exchange and create an environment for bacterial growth.
D. "Antitussives are used to suppress a dry, nonproductive cough.": These medications are most appropriate when there is no mucus to expel. They help reduce the frequency and intensity of dry coughing, especially when it interferes with sleep or comfort.
Correct Answer is A
Explanation
A. "I will need to take this medication for several weeks before noticing its full effects.": Buspirone is an anxiolytic that works by modulating serotonin and dopamine receptors. Unlike benzodiazepines, it has a delayed onset of action, typically requiring 2–4 weeks of consistent use to achieve its full therapeutic benefit.
B. "If I don't feel better after one week, I will stop taking the medication.": Stopping Buspirone prematurely can prevent the medication from reaching its full effect. It requires patient adherence and time for therapeutic levels to build; discontinuation should only be under a provider’s guidance.
C. "I should feel less anxious within an hour of taking the first dose.": Buspirone does not provide immediate relief of anxiety symptoms. It is not effective for acute anxiety or panic attacks due to its slow onset and gradual buildup in the system.
D. "I can use this medication as needed when I feel a panic attack coming on.": Buspirone is not intended for PRN (as-needed) use. It must be taken on a scheduled basis to maintain steady blood levels and is not useful for rapid symptom relief in panic situations.
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