A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1000 mL 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.)
The Correct Answer is ["1000"]
To calculate the IV flow rate in drops per minute (gtt/min), we can use the following formula: Flow rate (gtt/min) = Volume to be infused (mL) × Drop factor (gtt/mL) ÷ Time (min) Given information:
Volume to be infused = 1000 mL
Drop factor = 60 gtt/mL
Time = 60 min
Substituting the values into the formula:
Flow rate (gtt/min) = 1000 mL × 60 gtt/mL ÷ 60 min
Flow rate (gtt/min) = 1000 gtt/min
Therefore, the nurse should set the IV flow rate to deliver 1000 gtt/min.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,A,C,D
Explanation
The correct sequence of steps the nurse should take to administer the enema is:
1. Provide for the client's privacy by closing the curtains.
2. Confirm the client's identity by checking her wristband.
3. Assist the client into the Sims position.
4. Insert the tip of the enema tubing into the client's rectum.
Proper infection control measures, preparing the enema solution, monitoring the flow rate, and documenting the procedure are among other important considerations that should be taken into account.
Correct Answer is D
Explanation
When the client experiences cramping during the enema administration, it indicates that the colon is becoming distended. By allowing the client to expel some of the fluid, the pressure in the colon is reduced, which can help alleviate the discomfort and cramping. The nurse should pause the administration of the enema and allow the client to release some fluid before continuing.
The other options mentioned are not appropriate or effective actions to relieve the client's discomfort:
Lowering the height of the solution container: Lowering the height of the solution container will decrease the force of the fluid flow but may not address the underlying cause of the cramping. Allowing the client to expel some fluid is a more appropriate intervention.
Stopping the enema and documenting that the client did not tolerate the procedure: While it is important to monitor the client's tolerance during the procedure, abruptly stopping the enema and documenting intolerance may not be necessary if the discomfort can be relieved by allowing the client to expel some fluid. The nurse should prioritize relieving the discomfort before deciding to stop the procedure.
Encouraging the client to bear down: Bearing down or pushing can increase intra-abdominal pressure and exacerbate the cramping. This action is not recommended in this situation.
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