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A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?

1700

2200

1100

1300

Answer and Explanation

The Correct Answer is A

Calculation

Total Volume to Infuse: 1,000 mL

Infusion Rate: 100 mL/hr

Start Time: 0700

Calculate the Total Infusion Time

Total Time (hours) = Total Volume (mL) / Infusion Rate (mL/hr)

= 1,000 mL / 100 mL/hr

= 10 hours

Calculate the Finish Time

Add the total infusion time to the start time.

Start Time: 0700

Infusion Duration: + 10 hours

Finish Time: 1700 (or 5:00 PM)

The nurse should expect to hang another bag of IV solution at 1700.

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Correct Answer is D

Explanation

A. Medication reconciliation report: A medication reconciliation report is used to compare the client’s current medications with new prescriptions to prevent errors during transitions of care. It is not used to document incidents or near misses.

B. Root cause analysis form: A root cause analysis is a detailed process performed after a serious adverse event to determine underlying system issues. It is not the initial documentation tool for a single medication error or near-miss.

C. Plan of care: The plan of care outlines nursing interventions and goals for the client’s treatment. It is not used to record or report medication-related incidents.

D. Occurrence report: An occurrence (incident) report is the appropriate document for recording medication errors or near misses, such as discovering an allergy before administration. It provides information for quality improvement and risk management without becoming part of the client’s medical record.

A. Folic acid B. Calcium carbonate C. Vitamin C D. Fish oil

Correct Answer is B

Explanation

A. Folic acid: Folic acid supplementation does not interfere with tetracycline absorption or effectiveness. It is safe to take concurrently without affecting antibiotic action.

B. Calcium carbonate: Calcium binds with tetracycline in the gastrointestinal tract, forming an insoluble complex that reduces absorption and decreases the antibiotic’s effectiveness. Clients should avoid calcium supplements, dairy products, or antacids containing calcium when taking tetracycline.

C. Vitamin C: Vitamin C does not interact significantly with tetracycline. It can be taken safely without reducing the medication’s absorption or therapeutic effects.

D. Fish oil: Fish oil supplements do not interfere with tetracycline metabolism or absorption. They can be continued as part of the client’s routine supplement regimen.

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A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?

Nursing Test Bank

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