A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. 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 ["250"]

- Total volume of IV fluid: 2000 mL

- Total time for infusion: 8 hours

Infusion rate: 2000/8 = 250ml/hr

=250

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Correct Answer is B

Explanation

A. Atelectasis is incorrect. Atelectasis refers to lung collapse, which presents as reduced breath sounds and hypoxemia, not abnormal chest movement during respiration.

B. Flail chest is correct. Flail chest is characterized by paradoxical chest movement where a segment of the chest wall moves inward during inspiration and outward during expiration.

C. Pneumothorax is incorrect. Pneumothorax would cause sudden chest pain and dyspnea, but does not cause paradoxical chest movement.

D. Hemothorax is incorrect. Hemothorax involves blood in the pleural space and would cause reduced breath sounds and signs of shock, but not paradoxical chest movement.

A. Slurred speech B. Headache C. Pupillary changes D. Neck pain and stiffness E. Disorientation

Correct Answer is ["A","B","C","E"]

Explanation

A. Slurred speech can indicate increased ICP as it may affect neurological function.

B. Headache is a common symptom of increased ICP.

C. Pupillary changes can indicate increased ICP, affecting cranial nerve function.

D. Neck pain and stiffness are more associated with meningitis or other conditions, not specifically increased ICP.

E. Disorientation can be a sign of increased ICP affecting brain function.

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A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. 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

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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