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A nurse is preparing to administer Ringer lactate 500 mL intravenous (IV) bolus to infuse over 3 hours. The drop factor of the manual IV tubing is 2 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 ["56"]

To calculate the infusion rate, we'll use the following formula:

Infusion rate (gtt/min) = (Volume to be infused (mL) / Time (min)) Drop factor (gtt/mL)

First, calculate the total time in minutes:

3 hours 60 minutes/hour = 180 minutes

Then, calculate the volume per minute:

500 mL / 180 minutes = 2.78 mL/min

Finally, multiply the volume per minute by the drop factor:

2.78 mL/min 20 gtt/mL = 55.6 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 56 gtt/min.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Instruct the client to change clothing before arriving: This is incorrect. The client should keep the clothing worn during the assault as it may contain crucial evidence.
B. Inform the client that photographs of any injuries will be mandatory for a police report: This is incorrect. While evidence collection is important, it should be done with the client’s consent and consideration of their emotional state.
C. Ask the client to repeat the information obtained during admission: This is incorrect. Asking the client to repeat information can be traumatic. The history should be obtained sensitively and only as needed.
D. Obtain a history of the incident from the client: This is correct. The nurse needs to gather information to provide appropriate care and ensure evidence is collected properly. This should be done in a supportive and respectful manner.

A. Massage the legs. B. Apply dry heat to the legs. C. Elevate the legs. D. Immerse the legs in cold water.

Correct Answer is C

Explanation

A. Massage the legs: This is incorrect. Massage is contraindicated as it can cause further tissue damage and is not appropriate for frostbite.
B. Apply dry heat to the legs: This is incorrect. Dry heat can exacerbate tissue damage. Rewarming should be done using controlled, warm water immersion, not dry heat.
C. Elevate the legs: This is correct. Elevating the legs helps reduce swelling and can prevent further tissue damage. However, rewarming should be done carefully in a controlled environment.
D. Immerse the legs in cold water: This is incorrect. Immersing in cold water would worsen the frostbite. Rewarming should be done using warm (not hot) water, ideally at 37-39°C (98.6-102.2°F), for effective treatment.

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Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse working in an emergency department is caring for a client who has third-degree frostbite to both lower extremities. The nurse should take which of the following actions?

Correct Answer is C

Explanation

A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each 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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A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

A nurse in a healthcare provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?