A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number)
The Correct Answer is ["117"]
The correct answer is 117 mL/hr.
To calculate the IV rate, the nurse should use the following formula:
IV rate (mL/hr) = (Volume to be infused (mL) / Time of infusion (hr)) x Drop factor (gtt/mL)
In this case, the volume to be infused is 350 mL, the time of infusion is 3 hr, and the drop factor is 1 gtt/mL (assuming the IV pump is calibrated in mL/hr). Therefore, the formula becomes:
IV rate (mL/hr) = (350 mL / 3 hr) x 1 gtt/mL
IV rate (mL/hr) = 116.67 mL/hr
The nurse should round the answer to the nearest whole number, which is 117 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Erythroblastosis fetalis is the correct answer, as it is a hemolytic disease of the newborn that occurs when the mother is Rh-negative and the newborn is Rh-positive, and the maternal antibodies cross the placenta and destroy the newborn's red blood cells, causing anemia, jaundice, and edema. Rh0 (D) immunoglobulin is an injection that prevents the formation of Rh-positive antibodies in the mother, and reduces the risk of erythroblastosis fetalis in the current or subsequent pregnancies.
Choice B reason: Hypobilirubinemia is not the correct answer, as it is a low level of bilirubin in the blood that can cause pale skin, poor feeding, or lethargy. Hypobilirubinemia is not related to the Rh factor or the Rh0 (D) immunoglobulin injection, and it is not a common or serious complication in the newborn.
Choice C reason: Biliary atresia is not the correct answer, as it is a congenital defect of the bile ducts that prevents the flow of bile from the liver to the intestine, causing jaundice, dark urine, and clay-colored stools. Biliary atresia is not related to the Rh factor or the Rh0 (D) immunoglobulin injection, and it is not a preventable complication in the newborn.
Choice D reason: Transient clotting difficulties is not the correct answer, as it is a bleeding disorder that occurs due to the deficiency of vitamin K, which is essential for the synthesis of clotting factors. Transient clotting difficulties is not related to the Rh factor or the Rh0 (D) immunoglobulin injection, and it is preventable by administering vitamin K to the newborn.
Correct Answer is D
Explanation
Choice A reason: Calcium carbonate is not the compound that the nurse should have readily available, as it is an antacid that neutralizes stomach acid and relieves heartburn. Calcium carbonate is not used to treat severe preeclampsia or magnesium sulfate toxicity, which are the conditions that the client may have.
Choice B reason: Potassium chloride is not the compound that the nurse should have readily available, as it is an electrolyte supplement that replenishes potassium levels and prevents hypokalemia. Potassium chloride is not used to treat severe preeclampsia or magnesium sulfate toxicity, which are the conditions that the client may have.
Choice C reason: Ferrous sulfate is not the compound that the nurse should have readily available, as it is an iron supplement that prevents or treats iron deficiency anemia. Ferrous sulfate is not used to treat severe preeclampsia or magnesium sulfate toxicity, which are the conditions that the client may have.
Choice D reason: Calcium gluconate is the compound that the nurse should have readily available, as it is an antidote that reverses the effects of magnesium sulfate and restores calcium levels and neuromuscular function. Calcium gluconate is used to treat severe preeclampsia or magnesium sulfate toxicity, which are the conditions that the client may have.
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