A nurse is preparing to administer cefazolin 1 g by intermittent intravenous (IV) bolus over 30 minutes. Available is cefazolin 1 g in 100 mL dextrose 5% in water (D5W). The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero. Only enter numbers and decimals. Do not enter any letters in your answer.)
The Correct Answer is ["33"]
To calculate the infusion rate, we'll use the following formula:
Infusion rate (gtt/min) = (Volume to be infused (mL) / Time (min)) ) x Drop factor (gtt/mL)
First, calculate the total volume to be infused:
- 100 mL / 30 min = 3.33 mL/min
Then, multiply the volume per minute by the drop factor:
- 3.33 mL/min x 10 gtt/mL = 33.3 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 33 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Using a portable electronic thermometer is incorrect as the device must be dedicated to the client to avoid cross-contamination.
B. Wiping the stethoscope with alcohol after use is insufficient because alcohol-based sanitizers are ineffective against C. difficile spores. The stethoscope should be cleaned with bleach-based disinfectant.
C. Removing the protective gown before leaving the client's room is correct as it prevents the spread of C. difficile spores outside the isolation area.
D. Removing the protective gown before removing gloves is incorrect. Gloves should be removed first to prevent contamination when removing the gown.
Correct Answer is B
Explanation
A. Distributive shock is associated with decreased MAP, not increased.
B. Decreased venous return occurs in distributive shock due to the pooling of blood in the periphery, leading to reduced preload and decreased cardiac output.
C. Distributive shock typically results in increased heart rate as the body attempts to compensate for decreased blood pressure and venous return.
D. Cardiac output is generally decreased in distributive shock due to reduced venous return and impaired blood flow.
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