A nurse is preparing to administer 0.9% 1L to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/ml. The nurse should set the manual IV infusion to deliver howmany gtt/min? (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 ["31"]

Flow rate (gtt/min)= Total volume / Time×Drop factor (gtt/mL)

Given:

Total volume = 1000 mL (1 L)
Time = 8 hours × 60 minutes = 480 minutes
Drop factor = 15 gtt/mL
Flow rate (gtt/min)= 1000 / 480×15= 31.25 (gtt/mL)

Answer: 31 gtt/min (rounded to the nearest whole number)

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Correct Answer is B

Explanation

A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.

A. Polyuria B. Periorbital edema C. Orange-tinged urine D. Hypertension

Correct Answer is B

Explanation

A. Polyuria: Nephrotic syndrome typically causes oliguria, not polyuria.
B. Periorbital edema: Fluid retention due to hypoalbuminemia commonly manifests as periorbital edema, especially in the morning.
C. Orange-tinged urine. This is not a characteristic of nephrotic syndrome. Urine may appear foamy due to proteinuria.
D. Hypertension: While hypertension can occur in some renal disorders, it is not a primary feature of nephrotic syndrome, which is characterized by edema, hypoalbuminemia, and proteinuria.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe?

A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?

An antidiuretic hormone used to treat Enuresis by reducing the volume of urine in the bladder is named?

A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?