A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.

At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Answer and Explanation

The Correct Answer is ["1100"]

The correct answer is 1100.

Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.

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Correct Answer is B

Explanation

Choice A rationale:

Repeating the potassium level is not the first action to take. The nurse already has a recent lab value.

Choice B rationale:

The nurse should withhold the medication. The normal range for potassium is 3.5-5.0 mEq/L. A level of 5.5 mEq/L is high, so giving more potassium could lead to hyperkalemia.

Choice C rationale:

Monitoring for paresthesia is important in hyperkalemia, but it is not the first action. The nurse should first prevent further increase in potassium levels.

Choice D rationale:

Administering a hypertonic solution is not relevant in this situation. It does not directly address the high potassium level.

A. Request a prescription for an analgesic for the client. B. Check the client's oxygen saturation level. C. Encourage the client to take slow, deep breaths. D. Obtain blood work from the client.

Correct Answer is C

Explanation

Choice A rationale:

Requesting a prescription for an analgesic for the client is a part of conventional medical treatment.

Choice B rationale:

Checking the client’s oxygen saturation level is a part of conventional medical treatment.

Choice C rationale:

Encouraging the client to take slow, deep breaths can help manage pain and is a holistic nursing approach.

Choice D rationale:

Obtaining blood work from the client is a part of conventional medical treatment.

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A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag. At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.

At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)