A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
The Correct Answer is ["45"]
1mg=1000mcg
4mg= 41000= 4000mcg
Desired dose= 3mcg/min
Desired dose per hour=3mcg60= 180mcg Form the prepared solution: 1000ml=4000mcg
?= 180mcg
=1801000/4000
=45ml/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Increasing oxygen to 6 liters/minute may not address the underlying cause of the client's wheezing and may not be the most appropriate intervention at this time.
B. Calling for an Ambu resuscitation bag may be necessary if the client's condition deteriorates further, but it is not the initial intervention for a client with asthma exacerbation.
C. Instructing the client to lie back in bed may not be effective and may exacerbate respiratory distress.
D. Administering a nebulizer treatment with a bronchodilator (e.g., albuterol) is the most appropriate intervention for a client with asthma exacerbation experiencing wheezing and respiratory distress. Nebulizer treatments deliver medication directly to the airways, helping to relieve bronchospasm and improve breathing.
Correct Answer is A
Explanation
A. Determining the patient's need for pain medication is a priority to ensure the patient's comfort during the end-of-life care process. Pain management is a critical aspect of palliative care and should be addressed promptly.
B. Updating the nurse manager on the patient's status is important but is not the immediate priority. The nurse manager's awareness does not directly impact the patient's comfort or care at the moment of impending death.
C. Conveying the patient's status to the chaplain may be part of the holistic care approach and can provide spiritual support to the patient and family, but it is not the first priority in terms of the patient's immediate physical needs.
D. Documenting the impending signs of death is essential for legal and medical records; however, it is secondary to addressing the patient's immediate needs, such as pain relief.
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