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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

The client should remove the used patch with medication areas to the inside and discard it in a closed receptacle 1.
Choice B is incorrect because the nitroglycerin patch should not be kept in place for 24 hours per day.
Instead, it should be worn for 12 to 14 hours and then removed 12.
Choice C is incorrect because while it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1, there is no specific instruction to cleanse excess hair from the skin before applying the patch.
Choice D is incorrect because a second patch should not be applied if angina pain occurs.
Nitroglycerin transdermal patches are used to reduce the number of angina attacks over a long time and will not relieve an attack that has already started because it works too slowly 1.
Instead, the client should check with their doctor if they also need a fast-acting medicine to relieve the pain of an angina attack 1.

A. "Don't you trust a female AP assigned to your care?". B. "I understand your request to have only male staff members attend to your care.". C. "It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender.". D. "I'll arrange for a male AP to do your personal care since you asked for it.".

Correct Answer is B

Explanation

“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily. Which of the following instructions should the nurse give the client?

Correct Answer is A

Explanation

A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

Correct Answer is B

Explanation

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