A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)

Answer and Explanation

The Correct Answer is ["2000"]

Answer: 2000

Rationale:

Step 1: Determine the volume remaining
400 mL of IV fluid is left.

Step 2: Determine the infusion rate
80 mL/hour

Step 3: Calculate the time it will take to infuse the remaining fluid:
Time = Volume ÷ Rate
Time = 400 mL ÷ 80 mL/hour = 5 hours

Step 4: Add the infusion time to the current time
Arrival time = 1500
1500 + 5 hours = 2000

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Correct Answer is C

Explanation

A. While the liver is centrally located and plays a significant role in filtering blood, its location alone does not directly explain why it's a common site for metastasis.
B. Portal hypertension refers to increased pressure within the portal vein system, usually due to liver disease, not metastasis.
C. The liver has a dual blood supply from the portal vein and the hepatic artery, which makes it a key organ for filtering blood coming from the digestive tract. This provides a route for cancer cells from the gastrointestinal tract and other organs to travel to the liver, making it a common site for metastasis.
D. Tumor markers are substances that may be found in higher amounts in the blood or tissues of people with cancer. However, they do not directly explain why the liver is a common site for metastasis.

A. Pain level B. Urinary output C. Tactile fremitus D. Chest tube drainage

Correct Answer is D

Explanation

A. Pain management is an important aspect of postoperative care, particularly after a thoracotomy and lobectomy. However, it is not the highest priority compared to monitoring for potential complications, such as bleeding or respiratory distress, which are more immediately life-threatening.

B. Urinary output is an important indicator of renal function and hydration status. However, in the immediate postoperative period following thoracotomy and lobectomy, monitoring chest tube drainage for excessive bleeding or signs of a complication, like pneumothorax, is more critical for the patient's immediate stability than monitoring urinary output.

C. Tactile fremitus refers to the palpable vibration on the chest wall when a patient speaks. It is helpful in assessing lung consolidation or other lung issues, but it is not as critical to assess immediately in the postoperative phase as monitoring for complications related to chest tube drainage, which is directly linked to the patient's respiratory and hemodynamic status.

D. After a thoracotomy and lobectomy, monitoring chest tube drainage is of utmost importance. The nurse should assess the color, amount, and consistency of drainage to detect any excessive bleeding or signs of a complication like a pneumothorax or hemothorax. Significant drainage (especially >100 mL/hr for several hours) could indicate bleeding, which is a critical postoperative complication that requires immediate intervention.

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A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse knows that the liver is a common site for metastasis from other primary cancers due to:

Correct Answer is C

Explanation

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority?

Correct Answer is D

Explanation

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