IV calculations: (rate-mL/h and gtt/min)
IV rate calculations will be rounded to nearest whole number.
Adult calculations: the calculation will be rounded to the nearest tenth. Drug Calculation safety considerations:
Examples:
5 must be answered as 0.5
5.0 must be answered as 5
To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers.
Labeling is not necessary
Question
The nurse received report for the client at 1400. The client was given medication through her NG tube at 1800: Ampicillin 20 mL, Pepcid 10 mL, and Reglan 15 mL. After each medication was given, there was a 30 mL flush with water. Her Hemovac drained 320 mL. Her chest tube drained 210 mL. At 2000, she drank 240 mL of water. Her IV was infusing @ 150mL/hour when report was received. She has voided 275 mL. 325 mL and 310 mL.
What is her I&O from 1400- 2200?
(Separate the answers with a comma)
The Correct Answer is ["2070"," 1440"]
The calculation is as follows:
Intake = (20 + 10 + 15) mL x 3 (medication and flushes) + 240 mL (water intake) + 150 mL/h x 6 h (IV infusion) = 2070 mL
Output = 320 mL (Hemovac drainage) + 210 mL (chest tube drainage) + (275 + 325 + 310) mL (urine output) = 1440 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Absent variations would show no detectable fluctuations in the fetal heart rate.
B. Minimal variability would show minimal fluctuations in the fetal heart rate, with an amplitude range of less than 5 beats per minute.
C. Marked variability would show wide and pronounced fluctuations in the fetal heart rate, with an amplitude range greater than 25 beats per minute.
D. Fluctuations in the fetal heart rate are within a moderate range, between 6 and 25 beats per minute.
Correct Answer is A
Explanation
A. Late decelerations are associated with uteroplacental insufficiency, indicating that the baby is not getting enough oxygen during contractions.
B. Maternal hypotension can lead to decreased perfusion but is more likely associated with variable decelerations.
C. Cord compression is often associated with variable decelerations, not late decelerations.
D. Head compression typically does not cause late decelerations; it may be associated with early decelerations.
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