A physician orders 1000 mL of normal saline to be infused at a rate of 50 mL/hr. The nurse plans on hanging a new bag at what time?

10 hours.

20 hours.

2 hours.

5 hours.

Answer and Explanation

The Correct Answer is B

Rationale:
Total volume = 1000 mL
Infusion rate = 50 mL/hr
Time to infuse = Total volume ÷ Rate = 1000 ÷ 50 = 20 hours
Therefore, a new bag will be needed at 20 hours.

Final Answer: B. 20 hours

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Correct Answer is B

Explanation

Rationale:
A. Asking the patient to cough is appropriate if the tube has entered the airway, but it is not the first action when resistance is encountered.
B. Withdrawing the tube to the nasopharynx is the correct action. Resistance usually means the tube has hit an obstruction (e.g., nasal passage, turbinates, or esophagus). Pulling back allows for repositioning and reinsertion without causing trauma.
C. Encouraging the patient to swallow is helpful after the tube has passed the oropharynx but not when resistance is met during early insertion.
D. Hyperextending the neck makes passage into the esophagus more difficult; flexion of the neck is recommended during insertion.

A. What drainage to expect from the tracheostomy and when to notify the health care provider B. How to recognize signs and symptoms of hypoxia and how to prevent it C. How to remove the tracheostomy tube D. How to suction the tracheostomy tube

Correct Answer is C

Explanation

Rationale:
A. Teaching the patient and family what type of drainage is expected and when to report abnormal findings is essential for early detection of infection or complications.
B. Recognizing and preventing hypoxia is critical for patient safety and effective tracheostomy care.
C. Families should not be taught to remove the tracheostomy tube unless under emergency provider-directed circumstances. Removal is not part of routine home care and could compromise the airway.
D. Suctioning is a vital skill that caregivers must learn to maintain airway patency and prevent obstruction.

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A physician orders 1000 mL of normal saline to be infused at a rate of 50 mL/hr. The nurse plans on hanging a new bag at what time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What would the nurse do if he or she encountered resistance when inserting a nasogastric tube?

Correct Answer is B

Explanation

A patient may go home with a tracheostomy tube. Prior to discharge, the patient and the patient's family should be taught all of the following routine tracheostomy tube care measures except which of the following:

Correct Answer is C

Explanation

What is the purpose of having a fenestrated tube in an artificial airway?

Rebecca RPN is changing Mrs. Taurine's tracheostomy for the first time. Upon insertion of the suction catheter, Mrs. Taurine begins to cough. What is Rebecca's most appropriate action?

A nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine the needed length of the tube to be inserted, the nurse measures what length?

What would the nurse do before providing the patient with a scheduled intermittent feeding through a nasogastric (NG) tube?

The nurse is assessing the patient for signs and symptoms of fluid volume excess. Which of the following would indicate that the patient is experiencing this complication and should be reported? (Select all that apply.)

Which nursing diagnosis is the priority when the nurse is caring for a patient with a traumatic brain injury who had a tracheostomy placed?

Which of the following would demonstrate appropriate knowledge when inserting a nasogastric (NG) tube?