The physician orders 1000 mL lactated Ringer's to infuse at 125 mL/h for a postoperative patient. Tubing drop factor is 20 gtt/mL. Calculate the flow rate in drops per minute.
The Correct Answer is ["42"]
Calculation:
- Convert the infusion rate from milliliters per hour (mL/hr) to milliliters per minute (mL/min).
Infusion rate in mL/min = 125 mL/hr / 60 min/hr
= 2.0833... mL/min.
Tubing drop factor = 20 gtt/mL.
- Calculate the flow rate in drops per minute (gtt/min).
Flow rate (gtt/min) = Infusion rate (mL/min) × Tubing drop factor (gtt/mL)
= 2.0833... mL/min × 20 gtt/mL
= 41.666... gtt/min.
- Round the answer to the nearest whole number.
= 42 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instruct the patient to eat a diet high in potassium: This would be inappropriate for a patient with hyperkalemia, as high potassium intake could worsen the condition. Hyperkalemia requires a reduction in potassium intake, not an increase.
B. Monitor cardiac status: Hyperkalemia can cause dangerous cardiac arrhythmias and other heart-related issues. Therefore, it is critical to monitor the cardiac status of a patient with hyperkalemia to detect any changes that could indicate a life-threatening condition, such as arrhythmias.
C. Administer Spironolactone: Spironolactone is a potassium-sparing diuretic, which can increase potassium levels. Administering it in the case of hyperkalemia could worsen the condition, making this an inappropriate intervention.
D. Administer an IV of 0.9% NS with potassium added: Administering an IV solution with added potassium would worsen hyperkalemia, as it would increase potassium levels further. In cases of hyperkalemia, it's important to avoid additional potassium administration.
Correct Answer is A
Explanation
A. Intracellular: The majority of the body's total water volume is contained within the intracellular compartment, which makes up about 2/3 total body water. Intracellular fluid is essential for cellular function, and any depletion here contributes significantly to dehydration.
B. Extracellular: While extracellular fluid (ECF) accounts for about one-third of total body water, it is not the compartment that holds the majority. ECF includes interstitial fluid, blood plasma, and lymph, but intracellular fluid still holds a larger proportion.
C. Intravascular: Intravascular fluid is a subset of extracellular fluid, specifically the fluid found within blood vessels. It makes up a smaller portion of total body water and is primarily involved in transporting nutrients and waste.
D. Transcellular: Transcellular fluid is a small compartment of extracellular fluid, including fluids such as cerebrospinal fluid, synovial fluid, and ocular fluid. It represents a very small fraction of total body water.
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