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
While auscultating the lung fields can provide valuable information about the patient’s respiratory status, it is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.
Choice B rationale
Administering oxygen is the most appropriate action for a COPD patient with an oxygen saturation of 89%. This will help increase the patient’s oxygen saturation and alleviate their shortness of breath.
Choice C rationale
Elevating the head of the bed can help improve lung expansion and ease breathing, but it is not as immediately effective as administering oxygen.
Choice D rationale
Assisting the patient to get up to the chair is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.
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