The physician orders 1000 mL of D5W to infuse over 8 hours. The IV tubing has a drop factor of 10 gtt/mL. What is the drip rate in drops per minute? Round to the nearest whole number.

21 gtt/min

25 gtt/min

28 gtt/min

31 gtt/min

Answer and Explanation

The Correct Answer is A

Choice A reason: To calculate drip rate: (1000 mL ÷ 8 hours) × (10 gtt/mL ÷ 60 min/hour) = 1250 ÷ 60 = 20.83 gtt/min. Rounded to the nearest whole number, 21 gtt/min is correct for the infusion.

Choice B reason: A rate of 25 gtt/min overestimates the infusion, delivering 1000 mL in about 6.7 hours, not 8. The calculated rate is 20.83 gtt/min, making 25 incorrect after rounding to 21.

Choice C reason: 28 gtt/min delivers 1000 mL too quickly (about 6 hours). The formula yields 20.83 gtt/min, and rounding to 21 is accurate, making 28 gtt/min incorrect for the ordered infusion.

Choice D reason: 31 gtt/min significantly exceeds the required rate, infusing 1000 mL in about 5.4 hours. The correct rate is 20.83 gtt/min, rounded to 21, making 31 gtt/min incorrect.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Focusing on survival dismisses the client’s emotional distress, potentially invalidating their feelings. Addressing body image concerns empathetically fosters trust, making this an inappropriate and unsupportive response.

Choice B reason: Inviting the client to discuss feelings about the incision validates their emotions and promotes therapeutic communication. This open-ended approach supports coping with body image changes, making it the best response.

Choice C reason: Normalizing feelings is helpful, but stating the incision will heal soon minimizes the client’s distress. Exploring emotions is more therapeutic, as healing does not address body image, making this less effective.

Choice D reason: Discussing clothing to cover the incision is practical but avoids the emotional issue. Addressing feelings first supports psychological adjustment, making this a secondary intervention compared to open dialogue.

A. Serosanguineous drainage at this time is expected after abdominal surgery B. Serosanguineous drainage at this time is a manifestation of infection C. Serosanguineous drainage at this time is a manifestation of hemorrhage D. Serosanguineous drainage requires immediate surgical intervention

Correct Answer is A

Explanation

Choice A reason: Serosanguineous drainage, a mix of serous fluid and blood, is expected 1 week post-abdominal surgery during the inflammatory and proliferative healing phases. It indicates normal wound healing, making this the correct interpretation.

Choice B reason: Infection typically causes purulent drainage (thick, yellow-green) with odor or fever, not serosanguineous drainage. The described drainage aligns with normal healing, making infection an incorrect assumption at this stage.

Choice C reason: Hemorrhage involves sanguineous drainage (bright red, heavy blood), not serosanguineous, which is lighter and mixed. The drainage described does not suggest active bleeding, making hemorrhage an incorrect interpretation.

Choice D reason: Serosanguineous drainage is normal and does not warrant immediate surgical intervention unless accompanied by signs like excessive bleeding or dehiscence. This drainage is expected, making surgical intervention unnecessary and incorrect.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The physician orders 1000 mL of D5W to infuse over 8 hours. The IV tubing has a drop factor of 10 gtt/mL. What is the drip rate in drops per minute? Round to the nearest whole number.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a mastectomy. The client states, “I can’t stand to look at that incision. It makes me feel so ugly.” Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. The nurse should recognize that this is an indication of which of the following circumstances?

Correct Answer is A

Explanation

A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the number of nightly apneic episodes. Which of the following client statements indicates an understanding of the teaching?

The nurse is administering Ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

The nurse is caring for a patient with swelling and redness following an ankle sprain. Which action by the nurse is most appropriate?

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 3 NREM?

A home care nurse visits a new patient. The family asks how the home can be made safer. The nurse’s best advice includes which of the following?

The nurse is turning a patient with a total hip replacement. Which of the following is the appropriate intervention?

A nurse is caring for a client with left arm weakness. Which nursing action is most important to prevent contractures?

Which of the following nursing assessments would be the priority when considering the administration of pain medication to a client experiencing acute pain?