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:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

A. A client who is short of breath. B. A client who received pain medication 30 min ago. C. A client who is to be discharged at 11:00. D. A client who is ambulatory and going for an x-ray at 10:00.

Correct Answer is A

Explanation

Choice A rationale:

A client who is short of breath is experiencing a life-threatening situation and should be seen first.

Choice B rationale:

A client who received pain medication 30 min ago is likely to be comfortable and can be seen later.

Choice C rationale:

A client who is to be discharged at 11:00 can be seen closer to the discharge time.

Choice D rationale:

A client who is ambulatory and going for an x-ray at 10:00 can be seen after the x-ray.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

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.)