A nurse is preparing to administer Ringer’s lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number/tenth. Use a leading I zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["120"]

To calculate the infusion rate in gtt/min, the nurse needs to use the formula: gtt/min = (mL/hr x drop factor) / 60

Plugging in the given values, we get:

gtt/min = (120 mL/hr x 60 gtt/mL) / 60

gtt/min = 7200 gtt/hr / 60 gtt/min = 120 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 120 gtt/min.

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Correct Answer is B

Explanation

A. Keeping the baby's bassinet away from fans and air conditioning is a correct practice to prevent chilling.
B. Checking the baby's temperature rectally every hour is not a standard practice and may lead to unnecessary discomfort for the baby.
C. Keeping the baby's head covered is generally recommended for warmth.
D. Keeping the infant swaddled in a warm blanket is a good practice for maintaining warmth.

A. The baby should be carried in the parent’s arms from the room to the nursery B. The mom should request that a second staff member verify the identity of any questionable person C. Because of infant security systems, the baby can be left unattended in the client’s room D. Parents should be told it is safe to posting photographs of their infant on the Internet

Correct Answer is B

Explanation

A. Carrying the baby in the parent's arms enhances security but does not directly address the prevention of abduction.
B. Verifying the identity of any questionable person by a second staff member is a key measure to prevent infant abduction.
C. Leaving the baby unattended in the client's room is not a safe practice and does not contribute to preventing abduction.
D. Posting photographs of the infant on the Internet can compromise the child's security and is not recommended.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

Nurses play a critical role in educating parents regarding measures to prevent infant abduction. Which instructions contribute to infant safety and security?

Correct Answer is B

Explanation

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

A nurse is discussing the storage of breast milk with a mother whose infant is preterm and in the special care nursery. Which statement indicates that the mother requires additional teaching?

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?

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A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which guidance should the nurse provide to the client at this time?

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do when her newborn cries persistently. Which of the following strategies are appropriate for the nurse to teach the new mother about her infant?