A nurse is reviewing a provider's prescription for IV fluid therapy for a client who has fluid volume deficit. Which of the following units of measurement should the nurse use to administer the fluid using an IV pump?

drops/mL

drops/min

mL/hr

units/hr

Answer and Explanation

The Correct Answer is C

A. drops/mL: Drops per milliliter is a measurement used to calculate manual drip rates but is not a unit used when programming an electronic IV pump.

B. drops/min: Drops per minute is relevant for manual infusion via gravity drip sets. IV pumps require volumetric input rather than counting drops per minute.

C. mL/hr: Intravenous pumps are programmed to deliver fluids in milliliters per hour. This unit allows precise control of the infusion rate and ensures accurate fluid replacement for a client with fluid volume deficit.

D. units/hr: Units per hour are typically used for medications like insulin or heparin. This unit is not appropriate for general IV fluid administration.

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Correct Answer is A

Explanation

A. Elevated blood pressure: Excess fluid in the vascular system increases circulating volume, which raises blood pressure. This is a common early sign of fluid overload and can lead to additional complications if not addressed promptly.

B. Decreased pulse rate: Fluid overload typically causes an increased pulse rate as the heart works harder to manage the extra volume. A decreased pulse is not a usual manifestation of fluid overload.

C. Decreased gastrointestinal motility: Fluid overload does not directly reduce gastrointestinal motility. Bowel slowing is more commonly associated with medications, immobility, or other systemic conditions rather than excess IV fluid.

D. Flattened neck veins: Fluid overload usually causes distended neck veins due to increased central venous pressure. Flattened neck veins suggest hypovolemia or low circulating blood volume rather than overload.

A. Heart rate of 56/min B. SaO2 95% on 2 L/min of oxygen C. Blood pressure 106/68 mm Hg D. Respirations 22/min

Correct Answer is A

Explanation

A. Heart rate of 56/min: Propranolol is a beta-blocker that can lower heart rate. A heart rate below 60/min may indicate bradycardia, which can be dangerous and requires intervention before administering the next dose.

B. SaO2 95% on 2 L/min of oxygen: Oxygen saturation of 95% on supplemental oxygen is within an acceptable range and does not require immediate intervention.

C. Blood pressure 106/68 mm Hg: While slightly on the lower side, this blood pressure is generally considered acceptable for many adults and does not typically necessitate an immediate intervention.

D. Respirations 22/min: A respiratory rate of 22/min is mildly elevated but usually not critical. It does not require withholding propranolol or immediate intervention in a stable client.

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A nurse is reviewing a provider's prescription for IV fluid therapy for a client who has fluid volume deficit. Which of the following units of measurement should the nurse use to administer the fluid using an IV pump?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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