How many drops per minute should the nurse set for the infusion? The patient has been prescribed 1 liter of 0.9% sodium chloride, USP to be administered intravenously (IV) over a period of 4 hours.
The IV administration set delivers 10 drops/mL. If rounding is required, round to the nearest whole number.
The Correct Answer is ["42"]
Step 1: Convert the volume from liters to milliliters. 1 liter = 1000 mL. Step 2: Convert the time from hours to minutes. 4 hours = 240 minutes.
Step 3: Calculate the rate in mL per minute. Rate = Volume ÷ Time = 1000 mL ÷ 240 min = 4.17 mL/min.
Step 4: Calculate the drops per minute. Drops per minute = Rate × Drop factor = 4.17 mL/min
× 10 gtt/mL = 41.7 gtt/min.
Step 5: Round off the result to the nearest whole number. 41.7 gtt/min rounds off to 42 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While lean beef, salads, and baked potatoes can be part of a balanced diet, they are not specifically recommended for patients with a strong family history of colon and rectal cancers.
Choice B rationale
Potatoes and low-fat breads can be part of a balanced diet, but they are not specifically recommended for patients with a strong family history of colon and rectal cancers.
Choice C rationale
Oatmeal, raisins, and fruit with skin are high in fiber, which promotes gut health and is beneficial for colorectal cancer prevention. A nutritious regular diet can improve your gut health, which is a main contributor to colon and rectal health.
Choice D rationale
Chicken, rice, and wheat products can be part of a balanced diet, but they are not specifically recommended for patients with a strong family history of colon and rectal cancers.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Checking the fingerstick glucose level is an immediate action that the nurse should take when a patient with type 2 diabetes reports feeling weak and jittery. These symptoms could indicate hypoglycemia, a condition characterized by low blood sugar levels.
Choice B rationale
Assessing skin temperature and moisture can help the nurse determine if the patient is sweating, a common symptom of hypoglycemia.
Choice C rationale
Administering a PRN dose of regular insulin is not the appropriate action if the patient is experiencing symptoms of hypoglycemia. Insulin would further lower the patient’s blood sugar levels, potentially worsening their condition.
Choice D rationale
Documenting anxiety on the surgical checklist may not be immediately helpful in addressing the patient’s current symptoms. While it’s important to document all relevant information, the nurse’s immediate focus should be on assessing and managing the patient’s symptoms.
Choice E rationale
Measuring pulse and blood pressure can provide important information about the patient’s cardiovascular status. Hypoglycemia can cause tachycardia and potentially hypotension, so these vital signs should be monitored.
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