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A client is brought to the emergency center for fluid replacement after running a marathon, and the healthcare provider prescribes a 500 mL bolus of 0.9% normal saline to be administered over 4 hours. The infusion set delivers 10 gtt/mL, so the nurse should regulate the infusion to deliver how many gtt/minute? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["21"]

To find the answer, we can use the following formula:

(gtt/min) = (mL/hour) x (gtt/mL) / 60

Substituting the given values, we get:

(gtt/min) = (500 / 4) x (10) / 60

Simplifying, we get:

(gtt/min) = 125 x 10 / 60

(gtt/min) = 20.833

(rounded gtt/min) = 21

Therefore, the nurse should regulate the infusion to deliver 21 gtt/minute of 0.9% normal saline.

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Correct Answer is ["75"]

Explanation

To find the answer, we can use the following steps:

- Calculate the dose of diphenhydramine in mg per administration by multiplying the volume in mL by the concentration in mg/mL

- Multiply the dose in mg per administration by the number of administrations per day

- Round the result to the nearest whole number

Using these steps, we get:

- (dose in mg per administration) = (15) x (12.5 / 5) = 37.5 mg

- (total daily dose in mg) = (37.5) x (2) = 75 mg

- (rounded total daily dose in mg) = 75 mg

Therefore, the client receives 75 mg of diphenhydramine per day.

Correct Answer is ["38.1"]

Explanation

To find the answer, we can use the following formula:

(Celsius) = (Fahrenheit - 32) x (5 / 9)

Substituting the given value, we get:

(Celsius) = (100.6 - 32) x (5 / 9)

Simplifying, we get:

(Celsius) = 68.6 x (5 / 9)

(Celsius) = 38.111

(rounded Celsius) = 38.1

Therefore, the nurse should document the oral temperature as 38.1 C in the medical record.

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Naxlex Comprehensive Predictor Exams

An adult client receives a prescription for diphenhydramine 15 mL by mouth every 12 hours PRN for pruritus. The bottle is labeled, "diphenhydramine 12.5 mg/5 mL." What is the total daily dose in mg that the client receives? (Enter numerical value only.)

Correct Answer is ["75"]

Explanation

The nurse is caring for a client with an oral temperature of 100.6 F. What temperature in Celsius should the nurse document in the medical record? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["38.1"]

Explanation

A patient is receiving a 200 mL bolus of 0.9% normal saline (NS) to be infused over 20 minutes. The nurse should set the infusion pump to deliver how many mL/hour? (Enter numeric value only.)

The healthcare provider prescribes an IV bolus of diltiazem 0.25 mg/kg for a client with atrial fibrillation. The client weighs 178 pounds. How many mg should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

The healthcare provider prescribes a hydration infusion of normal saline to run over 3 hours at 30 mL/kg for a client who is dehydrated and weighs 70 kg. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)

A 4-year-old is admitted with croup and receives a prescription for a single dose of dexamethasone 0.6 mg/kg IM. The child weighs 35 pounds. How many mg should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

A client receives a prescription for amoxicillin 2 g/clavulanate 125 mg by mouth every 12 hours for 10 days. The medication is available in 1000 mg/62.5 mg extended release tablets. How many tablets should the nurse administer? (Enter numerical value only.)