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. A nurse is preparing to administer 0.9% sodium chloride 1 L IV 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 how many 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"]

Desired volume: 1 L = 1,000 mL

Infusion time: 8 hours = 480 minutes

Drop factor: 15 gtts/mL

Formula: (Volume (mL) ÷ Time (min)) × Drop factor (gtts/mL)

= (1000 ÷ 480) × 15

= 31.25

Rounded to the nearest whole number: 31 gtt/min

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Correct Answer is ["0.5"]

Explanation

Desired dose: 25 mg

Available dose: 50 mg/tab

Formula:

Tabletstoadminister=Desireddose ÷ Availabledosepertablet

= 25mg ÷ 50mg/tab

= 0.5 tablets

Therefore, the nurse should administer 0.5 tablet(s) per dose.

A. Obtain an x-ray of the right hip. B. Administer iron supplement C. Administer spironolactone D. Administer supplemental oxygen PRN E. Administer an IV fluid bolus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

. Obtain an x-ray of the right hip:

Anticipated: After a fall, especially in an elderly client with a history of dizziness, it's important to rule out a hip fracture, a common and serious injury in this population.

2. Administer iron supplement

Anticipated: Maintaining adequate iron supplementation is important to address the client's chronic iron-deficiency anemia. This helps to support red blood cell production.

3. Administer spironolactone

Contraindicated: Administering spironolactone is contraindicated because the client’s potassium level is elevated at 5.8 mmol/L, indicating hyperkalemia. Spironolactone, a potassium-sparing diuretic, could further exacerbate this condition.

4. Administer supplemental oxygen PRN

Nonessential: Administering supplemental oxygen is nonessential at this time because the client’s oxygen saturation is 94% on room air, which is within the normal range.

5. Administer an IV fluid bolus

Anticipated: Administering an IV fluid bolus is anticipated due to the client’s signs of dehydration (e.g., tenting skin, dry skin, low blood pressure) and recent history of nausea and diarrhea.

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Test:	Results:	Reference ranges:
White Blood Cell Count (WBC)	7000/µL	4,000-11,000/µL
Hemoglobin (Hb)	10.2 g/dl	12.0-15.5 g/dL
Hematocrit (Hct)	32%	37-47%
Platelets	250,000/µL	150,000-450,000/µL

Test	Result	Reference range
Sodium (Na):	132	135-145 mmol/L
Potassium (K):	5.8	3.5-5.0 mmol/L
Chloride (Cl):	97	98-106 mmol/L
Creatinine:	1.5	0.6-1.2 mg/dL
Blood Urea Nitrogen (BUN):	40	7-20 mg/dL

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?

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