A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 125 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (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 ["8"]

Calculate the total infusion time:

Total volume (mL) / Infusion rate (mL/hr) = Infusion time (hours)

1000 mL / 125 mL/hr = 8 hours

Therefore, the IV pump should infuse the 1-liter bag of 0.9% sodium chloride over 8 hours.

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Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

A. Smoking, even at a reduced rate, still significantly increases the risk of CAD, so reducing smoking to only one pack a week is not an acceptable solution.

B. Regular exercise, such as walking, is beneficial for managing coronary artery disease (CAD), improving cardiovascular fitness, and reducing risk factors like hypertension and obesity.

C. Consuming red meat and cheese daily is not recommended for CAD management due to the high saturated fat content, which can raise cholesterol levels and worsen the condition. A heart-healthy diet typically limits these foods.

D. Maintaining a healthy weight through weight loss is a key factor in managing CAD risk, as obesity contributes to hypertension, diabetes, and lipid imbalances.

E. Regular doctor appointments for physical exams and monitoring blood pressure are essential for managing CAD and preventing complications such as heart attacks or strokes.

A. Decrease in LDL cholesterol from last visit. B. Generalized muscle aches. C. Nausea when taking the medication on an empty stomach D. Clear, light yellow urine output

Correct Answer is B

Explanation

A. A decrease in LDL cholesterol is a desired effect of simvastatin and does not indicate a problem.

B. Generalized muscle aches are a significant concern for patients on statin medications, such as simvastatin. This can be indicative of a serious side effect called rhabdomyolysis, a condition where muscle tissue breaks down and can lead to kidney damage. This should be communicated to the healthcare provider immediately for further evaluation and possible discontinuation of the medication.

C. Nausea when taking the medication on an empty stomach is a common side effect and may be addressed with guidance on when to take the medication.

D. Clear, light yellow urine is normal and does not require further action.

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Naxlex Comprehensive Predictor Exams

The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Correct Answer is B

Explanation

The nurse is evaluating a client with multiple cardiovascular risk factors. Which of the following assessment findings would be most indicative of chronic venous insufficiency?

The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

The nurse is educating a client prior to an electrocardiogram (ECG). What is the best explanation regarding the purpose of electrocardiography?

The nurse has finished teaching a patient diagnosed with chronic stable angina about the use of sublingual nitroglycerin (Nitrostat). Which patient statement indicates that the teaching has been effective?

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?