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)
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B.Hospice care is the most appropriate recommendation for a patient with a terminal diagnosis who has chosen to stop curative treatments. This specialty focuses on comfort, pain management, and emotional support for patients with a life expectancy of six months or less. It provides a multidisciplinary team to assist the patient and family during the end-of-life process.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D.Surgical oncology involves the physical removal of cancerous tumors through operative procedures. Because the patient has decided not to continue with cancer treatment, surgery—which is an invasive form of treatment—is no longer an objective. A surgical consult would not align with the patient’s goal of comfort and the cessation of aggressive medical interventions.
Correct Answer is B
Explanation
A. Applying ice packs to the radiated area is not typically recommended, as it can cause additional skin irritation or damage. Skin care after radiation usually focuses on keeping the skin moisturized and protected.
B. Wear loose soft clothing over the treated area is the most important instruction because radiation therapy can cause skin irritation and sensitivity. Wearing loose, soft clothing helps to avoid further friction or irritation on the sensitive skin in the treated area.
C. Avoiding sharing bathrooms or toilets with others for 48 hours after treatment is not a required precaution for external radiation therapy, as there is no significant risk of radiation exposure to others through contact with shared bathroom facilities. This is more applicable to certain types of radioactive implants or internal radiation therapies.
D. While rest is important during cancer treatment, this instruction is more general and not as specific to skin care management during radiation therapy. The primary focus for skin care would be preventing irritation and damage to the skin in the radiated area.
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