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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.
Correct Answer is D
Explanation
Hypoglycemia, or low blood sugar, can cause an irregular or fast heartbeat 12.
Bradycardia refers to a slower-than-normal heart rate, which is the opposite of what can happen during hypoglycemia.
Choice A is not an answer because dry mucous membranes are not a common symptom of hypoglycemia.
Choice B is not an answer because polyuria, or excessive urination, is not a common symptom of hypoglycemia.
Choice C is not an answer because poria is a type of fungus and is not related to hypoglycemia.
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