A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours.
The drop factor of the manual IV tubing is 60 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 ["50"]
To calculate the flow rate in gtt/min, you need to divide the total volume of the IV fluid (400 mL) by the total infusion time in minutes (8 hours x 60 minutes/hour = 480 minutes) and then multiply by the drop factor of the manual IV tubing (60 gtt/mL).
This gives you a flow rate of (400 mL / 480 minutes) x 60 gtt/mL = 50 gtt/min.
The other choices are not answers because they are not provided in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1.
The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
Choice B is not correct because constipation is not a common side effect of theophylline.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.

Correct Answer is A
Explanation
The nurse should insert the needle at a 90-degree angle when administering heparin subcutaneously 1.

Choice B is incorrect because the nurse should not massage the injection site after administering the heparin.
Choice C is incorrect because it is not necessary to prepare for a blood test prior to injecting the heparin.
Choice D is incorrect because there is no specific requirement to select a 22-gauge needle for heparin administration.
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