The physician orders 3000 mL of total parenteral nutrition (TPN) to be infused from 1900 to 0700 hours. How many milliliters per hour should the IV pump be programmed for?
The Correct Answer is ["250"]
Order: 3000 mL of TPN to be infused from 1900 to 0700 hours
Total infusion time: 12 hours
Volume to be infused: 3000 mL
Infusion rate: 3000 mL ÷ 12 hours = 250 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Dark black visible blood: Dark, black blood is typically a sign of blood that has been digested, often due to gastrointestinal bleeding, but this is not the definition of occult blood.
b) Bright red visible blood: Bright red blood is usually a sign of recent bleeding, often from hemorrhoids or anal fissures. Occult blood refers to blood that is not visible.
c) Blood that contains mucus: Blood with mucus is not the definition of occult blood. Occult blood refers to blood that is hidden and cannot be seen without further testing.
d) Blood that cannot be seen: Occult blood refers to hidden blood that is not visible to the naked eye but can be detected through specific tests, such as a fecal occult blood test (FOBT).
Correct Answer is A
Explanation
a) Discontinue the feedings and notify the physician of your assessment findings: These are signs of feeding intolerance or possible complications such as delayed gastric emptying, infection, or dumping syndrome. Stopping the feeding prevents further distress, and the physician should be informed promptly.
b) Continue feedings as ordered: Continuing feedings may worsen the symptoms and put the patient at risk for aspiration or further gastrointestinal complications.
c) Administer prn pain medication: Pain medication will not address the underlying issue of nausea, vomiting, and GI symptoms. It may also mask symptoms or cause further GI upset.
d) This is a normal response, continue feedings as ordered: These symptoms are not normal. Nausea, vomiting, distention, and frequent diarrhea suggest a problem with the feeding regimen.
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