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A client is receiving a secondary IV infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The IV administration set delivers 20 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["83"]

Rationale:

Total volume to be infused = 500 mL.

Infusion time in minutes = 2 hours × 60 minutes/hour

= 120 minutes.

Drop factor of the IV administration set = 20 gtt/mL.

Calculate the flow rate in drops per minute (gtt/min).

Flow rate (gtt/min) = (Total volume (mL) × Drop factor (gtt/mL)) / Infusion time (min)

= (500 mL × 20 gtt/mL) / 120 min

= 10000 / 120 gtt/min

= 83.333... gtt/min.

Round the answer to the nearest whole number.

= 83 gtt/min

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Free Nursing Study Resources

Correct Answer is B,A,D,C

Explanation

1. B. Verify the insulin prescription: The first step is to verify the prescription to ensure the correct type and dose of insulin before administering it. This ensures one is following the appropriate instructions.

2. A. Obtain blood glucose level: The next step is to check the client's blood glucose level to determine the amount of insulin needed based on the sliding scale.

3. D. Cleanse the selected site: After obtaining the blood glucose level, the next step is to prepare the injection site by cleaning it properly to prevent infection.

4. C. Draw insulin into insulin syringe: Finally, drawing the appropriate amount of insulin into the syringe, based on the sliding scale and the blood glucose level, to administer the injection.

A. Plan meals with low fiber. B. Separate fluids from meals. C. Eliminate acidic food choices. D. Offer comfort foods. E. Provide small, frequent meals.

Correct Answer is ["A","B","E"]

Explanation

A. Plan meals with low fiber: After bariatric surgery, the digestive system can be more sensitive, and high-fiber foods may cause discomfort. Planning low-fiber meals helps reduce irritation and minimize symptoms like diarrhea and cramping.

B. Separate fluids from meals: This is an important intervention because drinking fluids during meals can increase the risk of dumping syndrome, leading to nausea, vomiting, and diarrhea. Fluids should be consumed between meals to help avoid these symptoms.

C. Eliminate acidic food choices: Acidic foods (like citrus, tomatoes, some sauces) can irritate the sensitive gastric pouch and small intestine after bariatric surgery, potentially exacerbating symptoms of nausea, abdominal cramps, and discomfort.

D. Offer comfort foods: Comfort foods are not appropriate for this client, as they may be high in fat, sugar, or calories, which could exacerbate symptoms after bariatric surgery. Instead, nutritious and easily digestible foods should be offered.

E. Provide small, frequent meals: Offering small, frequent meals helps reduce the strain on the digestive system, making it easier for the client to tolerate food. Large meals can cause discomfort and increase the risk of complications such as dumping syndrome.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B,A,D,C

Explanation

Correct Answer is ["A","B","E"]

Explanation

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