A nurse is preparing to administer dextrose 3.5% in water (D3.5W) 1200 mL to infuse over 24 hours.
The drop factor of the manual IV infusion is 15 gtt/mL.
How many gtt/min should the nurse set the infusion to deliver? (Round to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.).
25 gtt/min.
13 gtt/min.
42 gtt/min.
15 gtt/min.
The Correct Answer is B
Step 1: Calculate the total infusion time in minutes.
24 hours × (60 minutes/hour) = 1440 minutes.
Step 2: Calculate the infusion rate in mL/min.
1200 mL ÷ 1440 minutes = 0.833 mL/min.
Step 3: Calculate the drop rate in gtt/min.
0.833 mL/min × 15 gtt/mL = 12.495 gtt/min.
Step 4: Round to the nearest whole number.
12.495 ≈ 13 gtt/min.
Answer: 13 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Hypoglycemia, or low blood sugar, can cause an irregular or fast heartbeat 12.
Bradycardia refers to a slower-than-normal heart rate, which is the opposite of what can happen during hypoglycemia.
Choice A is not an answer because dry mucous membranes are not a common symptom of hypoglycemia.
Choice B is not an answer because polyuria, or excessive urination, is not a common symptom of hypoglycemia.
Choice C is not an answer because poria is a type of fungus and is not related to hypoglycemia.
Correct Answer is D
Explanation
NPH insulin is an intermediate-acting insulin that usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Peak time is when insulin has its strongest effect on lowering blood glucose1.
Choice A: 30 minutes to 3 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice B: 2 to 6 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice C: 4 to 5 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
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