A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. 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.)

Answer and Explanation

The Correct Answer is ["19"]

Drip rate (gtt/min) = (Volume to be infused in mL × Drop factor) ÷ Time of infusion in minutes

Given:

Volume to be infused = 350 mL Drop factor = 10 gtt/mL
Time of infusion = 3 hours = 180 minutes

Plugging these values into the formula:

Drip rate = (350 mL × 10 gtt/mL) ÷ 180 min Drip rate ≈ (3500 gtt) ÷ 180 min
Drip rate ≈ 19.4 gtt/min

Rounding to the nearest whole number, the drip rate is approximately 19 gtt/min. Therefore, the nurse should set the manual IV infusion to deliver 19 gtt/min.

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Correct Answer is A

Explanation

A. "This medication can cause an increase in appetite." is correct. Amitriptyline is a tricyclic antidepressant (TCA) that commonly causes increased appetite and weight gain as side effects. Clients should be informed of this possibility and encouraged to monitor their diet and weight while taking the medication.

B. "You might experience hair loss while taking this medication." is incorrect. Hair loss is not a common adverse effect of amitriptyline. This side effect is more commonly associated with other medications, such as chemotherapy agents or certain anticonvulsants.

C. "This medication can cause diarrhea." is incorrect. Amitriptyline typically causes constipation rather than diarrhea due to its anticholinergic effects, which slow gastrointestinal motility. Clients should be advised to increase fiber and fluid intake to help manage constipation.

D.While trouble urinating can occur due to anticholinergic effects, urinary frequency is not a commonly reported adverse effect of amitriptyline.

A. Hypomagnesemia B. Hypocalcemia C. Hyponatremia D. Hypokalemia

Correct Answer is C

Explanation

A. Hypomagnesemia: While lithium can affect magnesium levels, starting a new exercise program is not typically associated with hypomagnesemia. Hypomagnesemia may result in muscle weakness, tremors, and cardiac dysrhythmias.
B. Hypocalcemia: Starting a new exercise program is not typically associated with hypocalcemia. Hypocalcemia may present with muscle cramps, tetany, and seizures.
C. Hyponatremia: Starting a new exercise program may lead to dehydration and electrolyte imbalances, including hyponatremia (low sodium levels). This can have profound effects on patients taking lithium. Symptoms of hyponatremia include weakness, confusion, and seizures.
D. Hypokalemia is not a common occurrence among individuals doing exercise.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Correct Answer is C

Explanation

A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

A nurse is providing teaching to a client who reports smoking 3 packs of cigarettes per day and has a prescription for nicotine gum. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer erythromycin 2 g PO daily in equally divided doses every 6 hr. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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