A patient has an order for 1000mL of D5W to infuse at 90 mL/h. The tubing drop factor is 15 gtts/mL. Calculate the drops per minute. Round to the nearest whole number.
The Correct Answer is ["23"]
Identify the infusion rate in milliliters per hour (mL/hr) and the drop factor.
Infusion Rate: 90 mL/hr
Drop Factor: 15 gtts/mL
Calculate the infusion rate in drops per minute (gtt/min).
Rate (gtt/min) = (Infusion Rate (mL/hr) x Drop Factor (gtts/mL)) / 60 minutes/hour
= (90 mL/hr x 15 gtts/mL) / 60 min/hr
= 1350 / 60
= 22.5 gtt/min.
Round the answer to the nearest whole number.
= 23 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. A candida fungal infection.: Candida infections are treated with antifungal medications such as fluconazole or nystatin, not acyclovir. Acyclovir is ineffective against fungi because it specifically targets viral DNA synthesis.
B. An MRSA bacterial infection.: Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterial infection treated with antibiotics such as vancomycin or linezolid. Acyclovir has no antibacterial properties and would not be effective for MRSA.
C. A herpes viral infection.: Acyclovir is an antiviral drug primarily used to treat infections caused by the herpes simplex virus (HSV-1 and HSV-2) and varicella-zoster virus. It works by inhibiting viral DNA replication, helping reduce symptom severity and frequency of outbreaks.
D. A giardia protozoal infection.: Giardia infections are caused by protozoa and are typically treated with antiprotozoal medications such as metronidazole. Acyclovir has no activity against protozoa and would not treat this type of infection.
Correct Answer is C
Explanation
A. Hydroxychloroquine.: Hydroxychloroquine is an antimalarial and anti-inflammatory medication used in conditions such as rheumatoid arthritis and lupus. It has no antifungal properties and would not be effective for treating oral candidiasis (thrush).
B. Warfarin.: Warfarin is an anticoagulant used to prevent or treat thromboembolic disorders. It has no role in managing fungal infections and could even pose risks if given unnecessarily, such as increased bleeding tendency.
C. Nystatin.: Nystatin is an antifungal medication commonly prescribed for oral candidiasis, especially after prolonged antibiotic use that disrupts normal oral flora. It is typically administered as an oral suspension that the client swishes in the mouth and then swallows to eliminate the fungal overgrowth.
D. Ondansetron.: Ondansetron is an antiemetic used to prevent nausea and vomiting associated with chemotherapy, radiation, or surgery. It has no antifungal action and would not address the white oral lesions caused by Candida infection.
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