A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV infusion pump to deliver how many mL/hr to administer half the total volume in the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["255"]

Step 1: Calculate half the total volume. The total volume is 4,080 mL. So, half the total volume is 4,080 mL ÷ 2 = 2,040 mL.

Step 2: Calculate the rate to administer half the total volume in the first 8 hours. So, the rate is 2,040 mL ÷ 8 hr = 255 mL/hr.

Therefore, the nurse should set the IV infusion pump to deliver 255 mL/hr to administer half the total volume in the first 8 hr.

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Correct Answer is C

Explanation

A. Bleeding gums are common during pregnancy due to hormonal changes that make gums more sensitive and prone to bleeding. This is not typically a sign of a serious condition and can usually be managed with good oral hygiene.

B. Faintness or lightheadedness upon rising is common in pregnancy due to blood pressure changes. This can often be managed with lifestyle modifications such as rising slowly, staying hydrated, and avoiding prolonged standing.

C. Swelling of the face during pregnancy can be an early sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. This is a concerning symptom that requires immediate evaluation by a healthcare provider.

D. Urinary frequency is a common and usually benign symptom during pregnancy, especially in the first and third trimesters due to hormonal changes and pressure on the bladder. It does not typically require urgent reporting unless accompanied by other symptoms such as pain or burning during urination, which could indicate a urinary tract infection.

A. Obesity B. Hypothyroidism C. Hypertension D. Herpes zoster

Correct Answer is D

Explanation

Incorrect. Obesity is not a contraindication for acupuncture.

B. Incorrect. Hypothyroidism is not a contraindication for acupuncture.

C. Incorrect. Hypertension is not a contraindication for acupuncture.

D. Correct. Herpes zoster (shingles) involves a reactivation of the varicella-zoster virus and can cause skin lesions. Acupuncture involves the insertion of needles through the skin, which could potentially worsen the condition or lead to the spread of the virus.

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