A nurse is preparing to administer dextrose 5% in water (DSW) 1,200 ml. IV to infuse over 24 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round 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 ["13"]

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 1,200 ml

Drop factor: 15 gtt/ml

Time: 24 hr

First, we need to convert the time from hours to minutes:

24 hr * 60 min/hr = 1,440 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (1,200 ml * 15 gtt/ml) / 1,440 min

Simplifying the equation:

Infusion rate (gtt/min) = 18,000 gtt / 1,440 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 12.5 gtt/min

Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 13 gtt/min.

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Correct Answer is ["100"]

Explanation

To calculate the IV flow rate in drops per minute (gtt/min), you can use the following formula: Flow rate (gtt/min) = (Volume to be infused in mL) x (Drop factor) / (Time in minutes) In this case, the volume to be infused is 100 mL, the drop factor is 60 gtt/mL, and the time is 60 minutes.

Flow rate (gtt/min) = (100 mL) x (60 gtt/mL) / (60 min)

Canceling out the mL and min units, the formula becomes:

Flow rate (gtt/min) = 100 x 60 / 60

Flow rate (gtt/min) = 100

Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.

A. Take the medication on an empty stomach. B. Muscle weakness is an expected adverse effect. C. Increase daily intake of foods high in potassium. D. Take the medication at bedtime.

Correct Answer is C

Explanation

Hydrochlorothiazide is a thiazide diuretic commonly used to treat hypertension and edema. One of the potential side effects of hydrochlorothiazide is hypokalemia (low potassium levels). To help counteract this effect, it is important for the client to increase their daily intake of foods high in potassium, such as bananas, oranges, spinach, avocados, and potatoes. This helps maintain adequate potassium levels in the body.

The other options mentioned are incorrect:

Take the medication on an empty stomach: Hydrochlorothiazide can be taken with or without food. It does not need to be taken on an empty stomach.

Muscle weakness is an expected adverse effect: Muscle weakness is not a common or expected adverse effect of hydrochlorothiazide. If the client experiences muscle weakness, they should notify their healthcare provider.

Take the medication at bedtime: Hydrochlorothiazide can be taken at any time of the day. There is no specific requirement to take it at bedtime. The dosing schedule should be determined based on the individual's needs and healthcare provider's instructions.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/ml. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 ml. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is taking furosemide. For which of the following adverse effects should the nurse monitor?

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A nurse is checking the client's bowel sounds. At which time should the nurse auscultate the client's abdomen?

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?

A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

A nurse is reinforcing teaching with a client who has a new prescription for aluminum hydroxide to treat heartburn. Which of the following adverse effects of the medication should the nurse include in the teaching?