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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 C

Explanation

This is the first step in controlling bleeding and preventing hematoma formation 1.
Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.

Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.

A. Use a 1-inch needle to inject the medication. B. Use a 22-gauge needle to inject the medication. C. Massage the injection site after administration of the medication. D. Inject the medication into the abdomen above the level of the iliac crest.

Correct Answer is D

Explanation

“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.

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A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

Correct Answer is D

Explanation

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