A patient with severe nausea and vomiting has a one time order for Zofran 8 mg IVPB over 15 minutes. The Zofran is diluted in 50mL of D5W. The tubing drop factor is 15 gtts/mL. How many drops per minute should be given? Whole number.
The Correct Answer is ["50"]
Total volume to be infused = 50 mL.
Infusion time in minutes = 15 minutes.
Drop factor of the tubing = 15 gtts/mL.
Calculate the flow rate in drops per minute (gtts/min).
Flow rate (gtts/min) = (Total volume (mL) × Drop factor (gtts/mL)) / Infusion time (min)
= (50 mL × 15 gtts/mL) / 15 min
= 750 / 15 gtts/min
= 50 gtts/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A room with air exhaust directly to the outdoor environment: TB is a contagious airborne disease, and the client should be placed in a negative pressure room with an air exhaust system that directs air outside the building. This prevents the spread of the airborne pathogen to other areas in the hospital.
B. A room in the ICU: While a client with active TB may require ICU care depending on the severity of their condition, being placed in the ICU is not required solely due to the TB diagnosis. The priority is to place them in a room with appropriate airborne precautions.
C. A room that is within view of the nurses' station: While it is important to monitor the client closely, the priority for this client is to ensure they are in a room with proper ventilation and isolation to prevent the spread of the infection. The visibility of the room is secondary to infection control measures.
D. A room with another nonsurgical client: A client with active TB should not be placed in the same room as another client, unless both are infected with TB. TB is contagious, and the client should be isolated to prevent transmission to others.
Correct Answer is B
Explanation
A. "I understand what you mean, you can never be sure if the blood is tainted." This response would be inappropriate as it may increase the patient's anxiety and perpetuate fear about the transfusion. It does not provide accurate information about the safety of blood transfusions.
B. "I understand your concern. The blood is screened very carefully for different viruses as well as HIV." This response acknowledges the patient's concern while providing accurate and reassuring information. Blood donations are rigorously screened for HIV and other infectious diseases to ensure safety.
C. "If you don't have the blood transfusions, you may not make it through this episode of bleeding." While this statement is true, it focuses on the negative consequence without addressing the patient's fear. It also lacks a supportive and informative approach to the patient's concern about HIV.
D. "No one has gotten HIV from blood in a long time. You have to have the transfusion." This is dismissive and does not adequately address the patient's concern or provide accurate information about the safety measures in place for blood transfusions. It also pressures the patient into a decision without educating them.
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