A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["250"]
- Total volume of IV fluid: 2000 mL
- Total time for infusion: 8 hours
Infusion rate: 2000/8 = 250ml/hr
=250
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Explanation
A. Inspecting for the presence of clubbing is related to chronic respiratory or cardiac conditions, not ataxia.
B. Performing a Romberg's test evaluates balance and proprioception, which is important for assessing the ability to ambulate safely in a person with ataxia.
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Correct Answer is D
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A. Nasal congestion is not a primary sign of autonomic dysreflexia, though it can be a symptom of other conditions.
B. A severe headache can be a symptom of autonomic dysreflexia but is not the sole indicator of the condition.
C. Elevated blood pressure can be a result of autonomic dysreflexia but is not necessarily an indication of risk without other symptoms.
D. A distended bladder is a common trigger for autonomic dysreflexia in clients with a spinal cord injury at or above T-6, making it a key indicator for monitoring.
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