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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 D

Explanation

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test: While abstaining from sexual intercourse can be recommended to avoid contamination, it is not the most immediate concern before performing the test.
B. Educate the client about the risk factors associated with cervical cancer: While important, this is not a pre-procedural intervention but rather part of general patient education.
C. Assess the client's vital signs, including blood pressure and pulse rate: Vital signs are important but not specifically required before performing a Pap test.
D. Explain the steps of the Pap test procedure to the client: This is the most appropriate intervention as it prepares the client for the procedure, reducing anxiety and ensuring informed consent.

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance. B. Surgical removal of ovarian cysts is the primary treatment for PCOS. C. PCOS cannot be managed, and no treatment options are available. D. Weight loss and lifestyle modifications can help improve PCOS symptoms.

Correct Answer is D

Explanation

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance: This is incorrect. Oral contraceptives can help manage symptoms of PCOS by regulating menstrual cycles and reducing androgen levels, but they are not the only solution. Lifestyle modifications and weight loss can also significantly impact hormonal balance.
B. Surgical removal of ovarian cysts is the primary treatment for PCOS: This is incorrect. Surgery is not the primary treatment for PCOS. Management typically focuses on lifestyle changes and medications rather than surgical intervention.
C. PCOS cannot be managed, and no treatment options are available: This is incorrect. PCOS can be managed with a combination of lifestyle changes, medications, and, in some cases, surgical options.
D. Weight loss and lifestyle modifications can help improve PCOS symptoms: This is correct. Weight loss and lifestyle changes are fundamental in managing PCOS symptoms, as they can help improve insulin sensitivity and reduce androgen levels, which can alleviate symptoms and improve fertility.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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