A nurse needs to administer 500 mL of IV fluid over 4 hours. The IV set delivers 20 drops/mL. Calculate the flow rate in drops per minute using dimensional analysis.
33 drops/min
60 drops/min
42 drops/min
42 drops/min
The Correct Answer is C
Total Volume: 500 mL
Infusion Time: 4 hours (240 minutes)
Drop Factor: 20 gtt/mL
- Calculate the infusion rate in drops per minute
Infusion Rate (gtt/min) = (Total Volume × Drop Factor) ÷ Time (min)
Infusion Rate = (500 × 20) ÷ 240
Infusion Rate = 10,000 ÷ 240
Infusion Rate = 41.67 gtt/min
- Round to the nearest whole number
Infusion Rate = 42 gtt/min
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By developing evidence-based strategies and educational materials: The Institute for Safe Medication Practices focuses on identifying causes of medication errors and sharing evidence-based recommendations to prevent them. Through alerts, guidelines, and education, it helps healthcare professionals improve medication safety practices.
B. By manufacturing medications: ISMP does not manufacture medications. Its role is centered on safety advocacy, research, and education rather than pharmaceutical production.
C. By providing direct patient care: ISMP does not deliver hands-on patient care. Instead, it supports clinicians and organizations by promoting safer systems and practices related to medication use.
D. By enforcing legal regulations: ISMP is not a regulatory or enforcement body. While its recommendations influence policy and practice, it does not have legal authority to enforce medication safety regulations.
Correct Answer is B
Explanation
A. 20 mL: Twenty milliliters is equivalent to 4 teaspoons. Administering this amount would double the prescribed dose and could lead to medication overdose and adverse effects.
B. 10 mL: One teaspoon equals 5 mL, so 2 teaspoons equal 10 mL. This conversion is standard in clinical practice and ensures accurate and safe medication dosing.
C. 15 mL: Fifteen milliliters is equivalent to 3 teaspoons. Using this amount would exceed the prescribed dose and increase the risk of medication-related harm.
D. 5 mL: Five milliliters equals 1 teaspoon. Administering this amount would provide only half of the prescribed dose, leading to underdosing and reduced therapeutic effect.
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