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. Th 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 applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["31"]

Step 1: Convert 1 L to mL. 1 L = 1000 mL

Step 2: Calculate the total infusion time in minutes. 8 hr × 60 min/hr = 480 min

Step 3: Calculate the flow rate in gtt/min. (1000 mL ÷ 480 min) × 15 gtt/mL = 31.25 gtt/min

Step 4: Round to the nearest whole number. 31.25 gtt/min ≈ 31 gtt/min

Answer: 31 gtt/min

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Correct Answer is B

No explanation

A. Instruct the client to relax her gluteal muscles when entering the bath. B. Check on the client every 30 min during the bath. C. Set the water temperature to 40° C (104° F). D. Fill the bath 3% full of water.

Correct Answer is C

Explanation

a.Instructing the client to relax her gluteal muscles is not necessary for the sitz bath.

b.Checking on the client every 30 minutes is too infrequent; the nurse should monitor the client more closely.Continuous supervision ensures the patient’s safety and immediate assistance if needed.Maintaining consistent water temperature maximizes the therapeutic benefits and prevents discomfort.

c. Sitz baths are used to cleanse and soothe the perineal area, especially after childbirth. Warm water promotes blood flow, reduces inflammation, and helps with healing. A temperature of 40° C (104° F) is considered safe and effective for this purpose.

d.Fill clean bath withabout one-third full with warm water.Using a clean tub and the correct water level helps to provide a hygienic and comfortable environment for the patient. The sitz bath should be filled to a level that covers the perineal area.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer is B

A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Why would the nurse massage a "boggy" fundus?

A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?

A nurse is collecting data from a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn?

Which reflex in a newborn is also called the "startle reflex"?

A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?

A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse perform first?

A nurse is preparing to administer diazepam 3 mg IM. The amount available is diazepam for injection 5 mg/mL. How many mL should the administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)