The nurse began an infusion at 1245 per healthcare directive. The order reads, "Infuse NS 750 mL over 4 hours at a rate of 100 mL/hr. If the client's systolic blood pressure remains below 90 mmHg for more than 30 minutes, page me stat." If the nurse discontinues the infusion at 1545, how many milliliters should remain in the solution set?
The Correct Answer is ["450"]
Time from 1245 to 1545 = 3 hours
Infused amount = 3 × 100 = 300 mL
Thus, remaining fluid =
750 mL (ordered total) – 300 mL = 450 mL
Answer: 450 mL should remain in the solution set.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Crohn's disease – Crohn’s disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract, most commonly the distal ileum and proximal colon. It is characterized by transmural (all layers) inflammation and may cause fistulas, strictures, and deep ulcerations.
B. irritable bowel disease – This appears to refer to irritable bowel syndrome (IBS), which is a functional disorder without inflammation or structural damage and does not affect the intestinal layers.
C. ulcerative colitis – Ulcerative colitis is limited to the colon and rectum and affects only the mucosal and submucosal layers, not all layers.
D. celiac disease – Celiac disease is an autoimmune disorder triggered by gluten ingestion, affecting the small intestine's mucosal lining, not involving all layers or the colon.
Correct Answer is C
Explanation
A. A high fiber diet is beneficial for bowel health but does not specifically address the needs of a client with biliary colic or cholecystitis. Fiber intake is not the primary dietary concern in this condition.
B. A low sodium diet may be useful for managing hypertension or fluid retention but is not a targeted intervention for cholecystitis or biliary colic.
C. Clients with chronic cholecystitis or biliary colic should reduce fat intake because fat stimulates the gallbladder to contract, which can worsen pain and discomfort during episodes. A low-fat diet reduces the workload on the gallbladder.
D. A high protein diet is not specifically recommended for clients with biliary colic and may be unnecessary or even burdensome depending on the client’s liver and gallbladder function.
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