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)

A. Request an order for an antiemetic: Although nausea is a symptom of digoxin toxicity, administering an antiemetic may mask a serious underlying problem. It should not be the first intervention without further assessment of the client’s condition.
B. Check the client's vital signs: Digoxin toxicity can cause bradycardia, hypotension, and arrhythmias. The client's symptoms (nausea, weakness, and visual disturbances) are classic signs of digoxin toxicity. Assessing vital signs is the priority to determine if there is immediate hemodynamic instability, which would guide further urgent interventions.
C. Suggest that the client rests before eating the meal: Fatigue may be related to digoxin toxicity or underlying heart failure, but suggesting rest delays necessary clinical assessment and does not address the potentially serious symptoms.
D. Request a dietitian consult: While nutrition is important for clients with CHF, the presence of nausea, weakness, and visual disturbances suggests possible digoxin toxicity, which requires immediate clinical evaluation not dietary consultation.

A. "I should rinse my mouth with water and swallow it after using the inhaler.": Swallowing the rinse water may still allow corticosteroid particles to enter the systemic circulation through the gastrointestinal tract, increasing the risk of systemic effects and oral thrush.
B. "I will rinse my mouth only if I feel irritation after using the inhaler.": Rinsing should be done routinely after each use, regardless of the presence of irritation. Skipping this step can increase the risk of developing oral candidiasis (thrush) due to residual corticosteroid in the mouth.
C. "I will rinse my mouth with water and spit it out after using the inhaler.": Rinsing and spitting helps remove residual corticosteroid from the oropharynx, reducing the risk of local side effects like oral thrush and hoarseness.
D. "There is no need to rinse my mouth after using an inhaled corticosteroid.": This indicates a lack of understanding. Failure to rinse the mouth increases the risk of fungal infections and other local adverse effects due to prolonged exposure to the medication.