Provider's Order: Lactated Ringer's 2500 ml over 1 day
What is the hourly rate?
NOTE:
- DO NOT write the unit/s of measurement
- Enter your answer in whole number, example 133
The Correct Answer is ["104"]
Convert days to hours:
- 1 day 24 hours/day = 24 hours 1
Calculate the hourly rate:
- 2500 mL / 24 hours = 104.1666... mL/hour
Round to the nearest whole number:
- 104 mL/hour
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","G"]
Explanation
A. Requesting a consultation by the facility's Ethics Committee is appropriate because it can provide guidance in resolving the ethical conflict between the parents' differing views and the principle of autonomy for the child.
B. Relying on other medical interventions to support the client's needs related to the drop-in hemoglobin is not correct. While alternative treatments may be considered, this would not resolve the ethical conflict regarding the blood transfusion and does not directly address the dilemma between the parents.
C. Discussing at length the impact refusing the blood transfusion on the client's prognosis is not the best initial step. Although it may be helpful to provide this information, the core issue here is parental disagreement and religious beliefs, which should be addressed through legal or ethical consultations rather than simply offering further explanations.
D. Relaying the decision until it's apparent the hemoglobin level is dropping even lower is not appropriate. Delaying the decision may jeopardize the patient's life and does not respect the urgency of the situation or resolve the parental conflict.
E. Asking that other members of the client's immediate family provide insight regarding the client's view on blood transfusions is not the most effective option. While family members may have insight, this does not resolve the conflict between the parents and may not be legally binding.
F. Arranging for a Jehovah's Witness clergy member to discuss the situation with the client's father may provide some guidance, but it is unlikely to resolve the legal and ethical conflict about the blood transfusion. A clergy member's intervention is helpful in supporting religious beliefs but does not address the medical or legal implications of the decision.
G. Applying to the court system to arbitrate the conflict may be necessary if the parents cannot reach a consensus and if the medical team believes that the life-saving treatment should proceed. The court can make decisions based on the best interests of the child, particularly when there is a disagreement between parents.
Correct Answer is B
Explanation
A. Discontinuing the tube feeding and transitioning to parenteral nutrition is not the first action, as the residual volume may be manageable with additional interventions.
B. A residual volume of 200 mL is above the usual threshold, so the nurse should stop the feeding, wait, and recheck the residual to assess if it improves.
C. While positioning can help gastric emptying, the immediate action should be to stop the feeding and reassess before continuing.
D. Continuing the feeding without rechecking the residual volume would be premature, as the volume is higher than expected, potentially increasing the risk of aspiration.
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