A nurse is preparing to administer Lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor in the manual IV tubing is 60 gtt/mL. The nurse should set the flow rate to deliver how many gtts/min?
20 gtt/min.
30 gtt/min.
120 gtt/min.
50 gtt/min.
The Correct Answer is C
The nurse should set the flow rate to deliver 40 gtts/min.
This can be calculated by multiplying the infusion rate (120 mL/hr) by the drop factor (60 gtt/mL) and then dividing by the number of minutes in an hour (60 min/hr): (120 mL/hr) * (60 gtt/mL) / (60 min/hr) = 120 gtt/min
Choice A is not the best answer because setting the flow rate to deliver 20 gtts/min would not provide the desired infusion rate of 120 mL/hr.
Choice B is not the best answer because setting the flow rate to deliver 30 gtts/min would not provide the desired infusion rate of 120 mL/hr.
Choice D is not the best answer because setting the flow rate to deliver 50 gtts/min would provide a higher infusion rate than desired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.
This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.
Choice A is also correct.
Blurry vision can be a symptom of hyperglycemia.
High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.
Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.
Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.
This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.
Correct Answer is A
Explanation
“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.
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