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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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Correct Answer is ["A","C"]

Explanation

A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.

This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.

Choice A is also correct.

Blurry vision can be a symptom of hyperglycemia.

High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.

Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.

Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.

This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.

Correct Answer is ["100"]

Explanation

The nurse should set the IV flow rate to deliver 100 gtt/min.

To calculate the flow rate in gtt/min, you can use the formula: (Volume to be infused (mL) x Drop factor (gtt/mL)) ÷ Time (min) = Flow rate (gtt/min).

Plugging in the values from the question: (100 mL x 60 gtt/mL) ÷ 60 min = 100 gtt/min.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is ["A","C"]

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.).

Correct Answer is ["100"]

Explanation

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