A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hours. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason: Apply intermittent ice to the affected ankle for the first 48 hours

Applying ice intermittently to the affected ankle for the first 48 hours helps reduce swelling and inflammation. Ice should be applied for 15-20 minutes every 2-3 hours during the initial phase of injury management. This practice is part of the RICE (Rest, Ice, Compression, Elevation) protocol commonly used for sprains and strains.

Choice B reason: Wrap the affected ankle with an elasticized compression bandage

Wrapping the affected ankle with an elasticized compression bandage helps to minimize swelling and provide support to the injured area. Compression bandages should be snug but not too tight to avoid restricting blood flow. This is another component of the RICE protocol.

Choice C reason: Apply full weight-bearing on the affected ankle

Applying full weight-bearing on the affected ankle is not recommended immediately after a second-degree sprain. The ankle needs time to heal, and weight-bearing should be gradually reintroduced as pain and swelling decrease. Initially, the client should avoid putting weight on the injured ankle to prevent further damage.

Choice D reason: Elevate the affected ankle above the level of the heart

Elevating the affected ankle above the level of the heart helps reduce swelling by promoting venous return and decreasing fluid accumulation in the injured area. This is an essential part of the RICE protocol and should be done as much as possible during the first 48 hours.

Choice E reason: Apply a heating pad intermittently to the affected ankle after 48 hours

Applying a heating pad intermittently to the affected ankle after 48 hours can help increase blood flow and promote healing. Heat therapy should be used after the initial acute phase (first 48 hours) when swelling has subsided. Heat can help relax muscles and reduce stiffness in the injured area.

Choice A reason: I may have a dry mouth while taking this medication

Dry mouth is a common side effect of chlorpromazine, which is an antipsychotic medication used to treat various mental health conditions. This side effect occurs because chlorpromazine can reduce saliva production. Patients should be advised to maintain good oral hygiene and stay hydrated to manage this symptom.

Choice B reason: This medication may cause me to urinate frequently

Frequent urination is not a typical side effect of chlorpromazine. Instead, chlorpromazine can cause urinary retention, which is the inability to empty the bladder completely. Therefore, this statement does not indicate a correct understanding of the medication’s side effects.

Choice C reason: This medication will help me stop smoking

Chlorpromazine is not used to help people stop smoking. It is primarily prescribed for the treatment of schizophrenia, bipolar disorder, and other psychotic disorders. Medications specifically designed to aid smoking cessation include nicotine replacement therapies and other drugs like varenicline or bupropion.

Choice D reason: I should expect flu-like symptoms while taking this medication

Flu-like symptoms are not commonly associated with chlorpromazine. While some side effects can mimic flu symptoms, such as fatigue or muscle aches, they are not typical and should be reported to a healthcare provider if they occur. This statement does not reflect a correct understanding of the medication’s expected side effects.