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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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Correct Answer is B

Explanation

A. My platelet count will be drawn monthly: This is incorrect. Monitoring platelet count is not specifically related to polycystic ovarian syndrome (PCOS). PCOS management focuses more on hormonal levels and metabolic health.
B. I will be checking my blood glucose levels frequently: This is correct. Clients with PCOS are at increased risk for insulin resistance and diabetes, so monitoring blood glucose levels is an important aspect of managing PCOS.
C. My kidney function should be closely monitored: This is incorrect. While kidney function is important in overall health, it is not specifically monitored in PCOS unless there are other underlying issues.
D. My thyroid-stimulating hormone levels will increase: This is incorrect. Thyroid-stimulating hormone levels are not directly affected by PCOS, though thyroid function should be evaluated if there are symptoms suggesting thyroid dysfunction.

A. Remove the dressing to inspect the wound. B. Prepare to insert a central line. C. Raise the foot of the bed to a 90° angle. D. Administer oxygen via nasal cannula.

Correct Answer is D

Explanation

A. Remove the dressing to inspect the wound: This could exacerbate the wound and increase the risk of air entering the pleural space. The priority is to manage the wound to prevent further complications.
B. Prepare to insert a central line: While a central line might be needed for severe fluid resuscitation or medication administration, addressing the immediate airway and breathing concerns is more urgent.
C. Raise the foot of the bed to a 90° angle: This position is not appropriate for managing a sucking chest wound and does not address the immediate respiratory needs.
D. Administer oxygen via nasal cannula: The client is showing signs of hypoxia and increased respiratory distress. Administering oxygen will help improve oxygenation and manage symptoms of hypoxia until further interventions can be taken.

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Naxlex Comprehensive Predictor Exams

A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?

A client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse should encourage what health promotion activity to address the client's hormone imbalance and infertility?

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 is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

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?

A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?

A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?