A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/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.)
The Correct Answer is ["28"]
To calculate the IV infusion rate in drops per minute (gtt/min), you can use the following formula:
IV infusion rate (gtt/min) =(Total volume (mL)×Drop factor (gtt/mL)) / Total time (min)
Given:
Total volume = 1000 mL
Drop factor = 10 gtt/mL
Total time = 6 hours = 6 hours × 60 minutes/hour = 360 minutes
Substitute the given values into the formula:
IV infusion rate (gtt/min) = (1000mL×10gtt/mL)/360 min
IV infusion rate (gtt/min) = 10,000/360
IV infusion rate (gtt/min)≈27.78gtt/min
Rounding to the nearest whole number, the IV infusion rate is approximately 28 gtt/min
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Montelukast:
Montelukast is a leukotriene receptor antagonist (LTRA) used as a controller or maintenance medication for asthma. It is not used for the immediate relief of asthma symptoms during an acute attack. Montelukast is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks, but it does not provide rapid relief during an ongoing attack.
B) Fluticasone:
Fluticasone is an inhaled corticosteroid (ICS) used as a controller medication for asthma. It works by reducing airway inflammation and is taken regularly to control asthma symptoms and prevent exacerbations. Fluticasone is not used for the immediate relief of acute asthma symptoms and is not suitable for aborting an ongoing asthma attack.
C) Cromolyn:
Cromolyn is a mast cell stabilizer used as a controller medication for asthma. It helps prevent the release of inflammatory substances that contribute to asthma symptoms. Cromolyn is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks but is not used for the immediate relief of acute asthma symptoms like albuterol.
D) Albuterol.
Albuterol is a short-acting beta agonist (SABA) bronchodilator used for the quick relief of asthma symptoms during an acute asthma attack or exacerbation. It works rapidly to relax the smooth muscles in the airways, opening them up and relieving bronchoconstriction, which improves airflow and alleviates symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is typically administered via inhalation through a metered-dose inhaler (MDI) or a nebulizer.
Correct Answer is D
Explanation
A) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as a rescue medication to abort an ongoing asthma attack. Its onset of action is slower compared to short-acting beta agonists like albuterol.
B) Fluticasone:
Fluticasone is an inhaled corticosteroid medication used for the long-term control and management of asthma symptoms by reducing airway inflammation and preventing asthma exacerbations. It is not used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.
C) Cromolyn:
Cromolyn is a mast cell stabilizer medication that is used for the prevention of asthma symptoms and exercise-induced bronchospasm. It is not typically used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.
D) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a rescue or reliever medication for acute asthma symptoms or to abort an ongoing asthma attack. It works quickly to relax the smooth muscles of the airways, leading to rapid bronchodilation and relief of symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is considered a first-line medication for relieving acute asthma symptoms and should be used as directed by a healthcare provider during an asthma exacerbation.
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