A nurse is preparing to administer lactated Ringer's IV to infuse at 60 mL/hr. 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 the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["60"]
To calculate the IV flow rate in gtt/min, you can use the following formula:
Flow rate (gtt/min) = (Volume to be infused (mL) x Drop factor) / Time (min)
In this case, the volume to be infused is 60 mL/hr, the drop factor is 60 gtt/mL, and we want to find the flow rate in gtt/min.
Flow rate (gtt/min) = (60 mL/hr x 60 gtt/mL) / 60 min
Flow rate (gtt/min) = (3600 gtt/hr) / 60 min
Flow rate (gtt/min) = 60 gtt/min
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.2"]
Explanation
To calculate the mL of phenobarbital to administer per dose, you can use the following steps:
Convert the client's weight from pounds to kilograms. There are approximately 2.2 pounds in 1 kilogram.
Weight in kg = 165 lb / 2.2 lb/kg ≈ 75 kg
Calculate the total daily dose based on the client's weight and the prescribed dose per kilogram:
Total daily dose = 2 mg/kg/day × 75 kg ≈ 150 mg/day
Since the dose is divided into two equal doses per day, calculate the dose per dose:
Dose per dose = Total daily dose / 2 = 150 mg / 2 = 75 mg
Now, you need to find out how many mL of phenobarbital 65 mg/mL corresponds to a dose of 75 mg:
Volume (mL) = Dose (mg) / Concentration (mg/mL) = 75 mg / 65 mg/mL ≈ 1.1538 mL
Rounded to the nearest tenth, the nurse should administer approximately 1.2 mL of phenobarbital per dose.
Correct Answer is C
Explanation
a. Store the medication at room temperature following reconstitution: This option is incorrect. While it provides information about the storage of the medication after reconstitution, it doesn't pertain to the reconstitution process itself. Storage information is essential but not part of the reconstitution process.
b. Use 0.9% sodium chloride solution as a diluent: This option is incorrect. The label instructions mention adding water for reconstitution, not sodium chloride solution. Using the wrong diluent can result in incorrect drug concentrations and potential harm to the patient.
c. Discard any remaining medication after 10 days: This option is correct. The label clearly states that the reconstituted medication should be discarded after 10 days. This is important information for safe medication administration.
d. Roll the vial gently in hands to mix the medication: This option is incorrect. The label instructions specify shaking vigorously to wet the powder and then adding the remaining water, followed by vigorous shaking. Rolling the vial gently is not mentioned in the label instructions.
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