At 0330, a nurse is caring for a postoperative client.
The client’s IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? .

Answer and Explanation

The Correct Answer is ["300"]

Step 1: Determine the total time for the infusion in hours. The infusion started at 0330 and should end by 0600. So, the total time for the infusion is 0600 - 0330 = 2.5 hours.

Step 2: Calculate the total volume of IV fluid that should infuse by 0600. The IV fluids are infusing at 120 mL/hr. So, the total volume of IV fluid that should infuse by 0600 is 120 mL/hr
× 2.5 hr = 300 mL. .

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Correct Answer is C

Explanation

Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.

Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.

A. Maintain bed rest for 48 hr following surgery. B. Irrigate the nasogastric tube every 4 to 8 hr. C. Encourage hourly use of an incentive spirometer while awake. D. Perform leg exercises every 2 hr.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale
Maintaining bed rest for 48 hours following surgery is a common practice to allow the body to heal and recover.
Choice B rationale

Irrigating the nasogastric tube every 4 to 8 hours is necessary to maintain patency and prevent blockage.
Choice C rationale
Encouraging hourly use of an incentive spirometer while awake can help prevent postoperative complications such as pneumonia and atelectasis.
Choice D rationale
Performing leg exercises every 2 hours is not typically included in the plan of care for a client who had surgery for a bowel obstruction and has a nasogastric tube in place.

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At 0330, a nurse is caring for a postoperative client. The client’s IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is reviewing the health histories of four clients. For which of the following clients should the nurse anticipate scheduling a colonoscopy?

Correct Answer is C

Explanation

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place.Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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At 0330, a nurse is caring for a postoperative client.
The client’s IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? .