A nurse is assisting with the care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hours.
The nurse should set the volumetric pump to deliver how many milliliters per hour?
125 mL/hr.
130 mL/hr.
135 mL/hr.
140 mL/hr.
The Correct Answer is A
To calculate the rate at which the volumetric pump should be set to deliver the intravenous fluids, you need to divide the total volume of fluid (3,000 mL) by the total time in hours (24 hours).
This gives you 3,000 mL ÷ 24 hours = 125 mL/hr.
Therefore, the nurse should set the volumetric pump to deliver 125 mL of fluid per hour.
Choice B is incorrect because 130 mL/hr would result in a total of 3,120 mL over 24 hours.
Choice C is incorrect because 135 mL/hr would result in a total of 3,240 mL over 24 hours.
Choice D is incorrect because 140 mL/hr would result in a total of 3,360 mL over 24 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
Correct Answer is A
Explanation
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
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