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 A
Explanation
A. A classical incision increases the risk of uterine rupture during labor, and a vaginal birth is not typically recommended due to this risk.
B. The type of incision, not the term of the subsequent birth, is the primary consideration for deciding on a mode of delivery.
C. A classical incision is associated with an increased risk of complications, not a decreased risk.
D. The recommendation for a vaginal birth after cesarean (VBAC) depends on factors such as the type of uterine incision and other clinical considerations, not just the time interval.
Correct Answer is B
Explanation
A. The interval from the end of one contraction to the beginning of the next one is the frequency, not the duration.
B. Counting the interval from the beginning to the end of one contraction provides the duration of that contraction.
C. Counting the number of contractions in 10 minutes gives the frequency, not the duration.
D. Counting the interval between the acmes (peaks) of two consecutive contractions is not a standard method for determining the duration of contractions. The duration is usually measured from the beginning to the end of a single contraction.
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