A nurse is preparing to administer lactated Ringer's at 100 mL/hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["25"]

Finding out how many milliliters are infused per minute: 1 hr/100 mL×1 hr/60 min=100 mL/60 min

Finding the drops per minute, we multiply the mL/min by the drop factor: 100/60 x 15/1 = 1500/60 gtt/min =25 gtt/min

So, the nurse should set the manual IV infusion to deliver 25 gtt/min.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Frequent premature ventricular contractions (PVCs) can be caused by furosemide, as it may lead to electrolyte imbalances, especially hypokalemia.

B. Hypoglycemia is not a common adverse effect of furosemide.

C. Blood pressure 138/86 mm Hg is within the acceptable range for clients with heart failure and is not an adverse effect of furosemide.

D. Decreased LDL cholesterol and triglycerides is not an expected outcome of furosemide administration.

A. "TPN is administered for clients who are unable to absorb nutrients from their intestinal tract." B. "Clients who require long-term nutritional support are prescribed TPN." C. "I should check the client's gastric residual prior to initiating TPN." D. "I should administer TPN intravenously over 6 hr.”

Correct Answer is A

Explanation

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer is A

Explanation

A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter?

A nurse is assessing a client who is receiving nebulized albuterol. The nurse should identify which of the following as an adverse effect of albuterol?

A nurse is providing teaching to a client about adverse effects of atorvastatin. Which of the following adverse effects should the nurse include in the teaching? (Select all that apply.)

A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro insulin and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing teaching to a client who has a new prescription for tetracycline. The nurse should instruct the client to avoid taking which of the following supplements with tetracycline?

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?