Prescription Order: 1g in 50 mL to infuse over 30 minutes; gtt factor= 15gtts/1mL. How many drops per minute will you infuse?
The Correct Answer is ["25"]
Step 1: Convert the total volume to be infused from grams to milliliters. Since 1 gram is equivalent to 1,000 milligrams (mg), then 1 gram is equal to 1,000 mg. Therefore, 1g in 50 mL is equivalent to 1,000 mg in 50 mL.
Step 2: Determine the total infusion time in minutes. Since the order is to infuse over 30 minutes, the total infusion time is 30 minutes.
Step 3: Calculate the rate of infusion in milliliters per minute (mL/min). This is done by dividing the total volume in milliliters by the total time in minutes. So, (50 mL ÷ 30 min) equals approximately 1.67 mL/min.
Step 4: Calculate the number of drops per minute. This is done by multiplying the rate of infusion in mL/min by the drop factor in drops/mL. So, (1.67 mL/min × 15 gtt/mL) equals approximately 25 drops per minute. Therefore, you will infuse approximately 25 drops per minute.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.
Correct Answer is B
Explanation
Choice A rationale
Justice refers to fairness and equality in healthcare. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice B rationale
Accountability is the ethical standard that compels a nurse to report missing medication. Nurses are accountable for their actions and are responsible for reporting any discrepancies or issues that could impact patient safety26.
Choice C rationale
Confidentiality refers to the protection of patient information. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice D rationale
Fidelity refers to the commitment to fulfill promises and obligations. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
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