A nurse is preparing to administer dextrose 3.5% in water (D3.5W) 1200 mL to infuse over 24 hours.

The drop factor of the manual IV infusion is 15 gtt/mL.

How many gtt/min should the nurse set the infusion to deliver? (Round to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.).

25 gtt/min.

13 gtt/min.

42 gtt/min.

15 gtt/min.

Answer and Explanation

The Correct Answer is B

Step 1: Calculate the total infusion time in minutes.

24 hours × (60 minutes/hour) = 1440 minutes.

Step 2: Calculate the infusion rate in mL/min.

1200 mL ÷ 1440 minutes = 0.833 mL/min.

Step 3: Calculate the drop rate in gtt/min.

0.833 mL/min × 15 gtt/mL = 12.495 gtt/min.

Step 4: Round to the nearest whole number.

12.495 ≈ 13 gtt/min.

Answer: 13 gtt/min.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Unopened vials of insulin should be kept in the refrigerator at a temperature between 36°F to 46°F (2°C to 8°C) 1.
This helps to ensure that the insulin remains safe and effective until its expiration date.

Choice A is incorrect because insulin injected into the abdomen is absorbed more rapidly than insulin injected into other areas such as the thigh.
Choice B is incorrect because insulin should not be shaken vigorously as this can cause it to break down and become less effective.
Instead, gently roll the bottle between your hands to mix it.
Choice D is incorrect because not all types of insulin can be mixed together in the same syringe.
Only certain types of insulin can be mixed together and this should only be done under the guidance of a healthcare provider.

A. Grapefruit. B. Spinach. C. Broccoli. D. Carrots.

Correct Answer is A

Explanation

The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number.).

A nurse is preparing to administer levothyroxine 100mcg po to a client who has hypothyroidism. Available levothyroxine is 50 mcg tablets. How many tablets should the nurse administer? (Round off to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client. Which of the following actions should the nurse take?

A nurse is caring for a client who has hypertension and is to start taking Atenolol.

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer Lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor in the manual IV tubing is 60 gtt/mL. The nurse should set the flow rate to deliver how many gtts/min?

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply).

Which medication should the nurse have available to reverse heparin's effects for a client who has thrombophlebitis and is receiving a continuous heparin infusion?