A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 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 ["5"]

Step 1 is to calculate the infusion time.

Step 1:0 mL ÷ 200 mL/hr = 5 hours The final calculated answer is 5 hours.

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Correct Answer is B

Explanation

Choice A rationale
Notifying the charge nurse is important, but the priority action is to assess the client for any adverse effects of the medication error. This ensures the client’s immediate safety.
Choice B rationale

Checking the client’s vital signs is the priority action because it allows the nurse to assess for any immediate adverse effects of the medication error, such as changes in blood pressure or heart rate.
Choice C rationale
Filling out an occurrence report is necessary for documentation and institutional policy, but it is not the immediate priority. The client’s safety and assessment come first.
Choice D rationale
Documenting an objective description of the event in the client’s chart is important for medical records, but it should be done after assessing the client’s condition.

A. Review stress factors that can cause disease exacerbation. B. Evaluate fluid and electrolyte levels. C. Promote physical mobility. D. Provide emotional support.

Correct Answer is B

Explanation

Choice A rationale
While reviewing stress factors is important, it is not the priority action during an acute exacerbation of ulcerative colitis. The immediate concern is to address the physical symptoms and stabilize the patient.
Choice B rationale
Evaluating fluid and electrolyte levels is the priority action because acute exacerbations of ulcerative colitis can lead to significant fluid loss and electrolyte imbalances. Prompt assessment and correction of these imbalances are crucial for patient stability.
Choice C rationale

Promoting physical mobility is important for overall health but is not the priority during an acute exacerbation. The focus should be on managing the acute symptoms and stabilizing the patient.
Choice D rationale
Providing emotional support is important but is not the priority action during an acute exacerbation. The immediate concern is to address the physical symptoms and stabilize the patient.

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Naxlex Comprehensive Predictor Exams

A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

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A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?

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