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Order: Magnesium Sulfate 1 gram in 100mLs 0.09% NaCl over 2 hours. IV tubing has a drop factor of 30 gtt/mL. How many drops per minute will you give?

25 gtt/min

1500 gtt/min

50 gtt/min

83 gtt/min

Answer and Explanation

The Correct Answer is C

A. 25 gtt/min: Calculating the correct rate reveals that this is not the correct answer.

B. 1500 gtt/min: This rate is too high; the calculation does not support this answer.

C. 50 gtt/min: To calculate: (100 mL / 120 min) × 30 gtt/mL = 50 gtt/min.

D. 83 gtt/min: This is too high based on the calculation.

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Correct Answer is B

Explanation

A. Suggest that the client rests before eating the meal. Although rest can help with nausea, it does not address the potential issue of digoxin toxicity, which can cause nausea.

B. Check the client's vital signs. Checking vital signs, especially heart rate, is the priority because nausea can indicate digoxin toxicity, which affects heart function.

C. Request a dietary consult. A dietary consult may be helpful if the client continues to refuse meals, but it does not address the immediate potential for digoxin toxicity.

D. Request an order for an antiemetic. Although an antiemetic may help with nausea, assessing for toxicity takes priority.

A. "I will wear gloves when removing food from the freezer." B. "I will keep my house at a cool temperature." C. "I will complete the smoking cessation program I started." D. "I will try to anticipate and avoid stressful situations."

Correct Answer is B

Explanation

A. "I will wear gloves when removing food from the freezer." Cold temperatures trigger Raynaud's attacks, so wearing gloves to keep hands warm is appropriate.

B. "I will keep my house at a cool temperature." This statement indicates the client needs further teaching because keeping the house cool can trigger Raynaud's. The home should be kept warm to prevent attacks.

C. "I will complete the smoking cessation program I started." Smoking cessation is beneficial because nicotine can constrict blood vessels, worsening Raynaud’s.

D. "I will try to anticipate and avoid stressful situations." Stress can trigger Raynaud's episodes, so stress management is recommended.

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Order: Magnesium Sulfate 1 gram in 100mLs 0.09% NaCl over 2 hours. IV tubing has a drop factor of 30 gtt/mL. How many drops per minute will you give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer is B

Explanation

A nurse is collecting data from the medical record of an older adult client and sees that the client is taking Amiodarone. The client, has reported feeling frequently tired and unable to tolerate the heat. Which of the following conditions should the nurse suspect?

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A nurse at a provider's office receives a telephone call from a client who reports nausea and has unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

Order: Magnesium Sulfate 1 gram in 100mLs 0.09% NaCl over 2 hours. IV tubing has a drop factor of 30 gtt/mL. How many drops per minute will you give?

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