A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 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.)

Answer and Explanation

The Correct Answer is ["50"]

Infusion rate (gtt/min)= ( Volume (mL)/ Time (min) × Drop factor Substitute the values into the formula

100ml/30 *15

= 50gtt/min

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Correct Answer is C

Explanation

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

A. Inject air into the vial to withdraw the short-acting insulin. B. Administer the insulin within 20 min of preparing it. C. Ensure the NPH insulin is drawn into the syringe first. D. use two separate syringes to mix the insulin.

Correct Answer is A

Explanation

A-Injection of air ensures that the accurate dose is withdrawn into the syringe

B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.

C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.

D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

Correct Answer is C

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?

A nurse is caring for a client in the post-anesthesia unit who is experiencing malignant hyperthermia. Which of the following prescriptions should the nurse anticipate administering?

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?