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 ["100"]
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 = 100 mL
Drop factor = 60 gtt/mL
Time = 60 min
Substituting the values into the formula:
Flow rate (gtt/min) = 100 mL × 60 gtt/mL ÷ 60 min
Flow rate (gtt/min) = 100 gtt/min
Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
After administering lactulose to a client with cirrhosis, the nurse should monitor for the adverse effects of diarrhea. Lactulose is a laxative commonly used in the treatment of hepatic encephalopathy, which can occur in individuals with cirrhosis. One of the intended effects of lactulose is to promote bowel movements and reduce the absorption of ammonia in the gut, thus helping to manage hepatic encephalopathy.
While lactulose can cause adverse effects such as diarrhea, it is not typically associated with peripheral edema. Peripheral edema is often seen in cirrhosis due to fluid retention caused by liver dysfunction.
Dry mouth and headache are less commonly associated with lactulose use and are not typically the primary adverse effects to monitor for in this scenario.

Correct Answer is A
Explanation
Sucralfate works by forming a protective barrier or coating over the surface of the ulcer. It adheres to the ulcer site and provides a physical barrier that protects the ulcer from gastric acid, pepsin, and bile salts. This protective barrier allows the ulcer to heal by preventing further damage and irritation from the stomach acid.

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