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A nurse is preparing to administer Ringer lactate 500 mL intravenous (IV) bolus to infuse over 3 hours. The drop factor of the manual IV tubing is 2 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 ["56"]

To calculate the infusion rate, we'll use the following formula:

Infusion rate (gtt/min) = (Volume to be infused (mL) / Time (min)) Drop factor (gtt/mL)

First, calculate the total time in minutes:

3 hours 60 minutes/hour = 180 minutes

Then, calculate the volume per minute:

500 mL / 180 minutes = 2.78 mL/min

Finally, multiply the volume per minute by the drop factor:

2.78 mL/min 20 gtt/mL = 55.6 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 56 gtt/min.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Allow a drinking glass on the client's meal tray: This is incorrect. Allowing objects that could potentially be used for self-harm is unsafe. All items on the client's meal tray should be carefully reviewed to ensure they do not pose a risk.
B. Place the client in four-point restraints: This is incorrect. Restraints are used as a last resort and should only be applied following a thorough assessment of the client's needs and risks, considering less restrictive measures first.
C. Inspect the client's personal belongings: This is correct. Inspecting personal belongings is crucial to ensure that the client does not have items that could be used for self-harm. This step helps in identifying and removing potential hazards.
D. Assign the client to a private room: This is incorrect. Assigning a client to a private room might not be appropriate as it could isolate the client and reduce opportunities for observation and intervention. A safer approach is to place the client in a room where they can be closely monitored, typically a shared room with staff supervision.

A. Pinch the testicles to feel for abnormalities. B. Expect swelling of the testicles after examination. C. Perform testicular self-examination every year. D. Examine the testicles after a bath or shower.

Correct Answer is D

Explanation

A. Pinch the testicles to feel for abnormalities: This is incorrect. The testicles should be gently palpated, not pinched, to detect abnormalities.
B. Expect swelling of the testicles after examination: This is incorrect. There should be no swelling after a testicular self-examination.
C. Perform testicular self-examination every year: This is incorrect. Self-examination should be performed monthly, not yearly, to detect any changes promptly.
D. Examine the testicles after a bath or shower: This is correct. The warmth and relaxation of the scrotum after a bath or shower make it easier to feel for abnormalities.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following information should the nurse include?

Correct Answer is D

Explanation

Following a history of vaginal discharge and lower abdominal pain, a client is diagnosed with pelvic inflammatory disease (PID). When providing client education, the nurse identifies an understanding of the teaching when the client makes which statement in regard to preventing a reoccurrence?

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which postoperative complication is the priority for the nurse to monitor?

A nurse working in an emergency department is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching?

A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?

A nurse is assessing a client who is being admitted from the post-anesthesia care unit (PACU) following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?