A nurse needs to infuse three 1L bags over 12 hours. At what rate should the nurse program the pump to run in millilitres per hour?
(Round to the nearest whole number.)
The Correct Answer is ["250"]
To calculate the infusion rate, you first need to determine the total volume to be infused and the total time over which the infusion will occur.
Three 1L bags need to be infused over 12 hours.
Total volume = 3 bags * 1000 mL/bag = 3000 mL
Total time = 12 hours
Now, to find the rate in milliliters per hour (mL/h), divide the total volume by the total time:
Infusion rate = Total volume / Total time
Infusion rate = 3000 mL / 12 hours = 250 mL/h
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Explanation
A. Remove heel boots:
Heel boots are often used to protect the heels from pressure ulcers. However, it's important to assess the skin regularly and remove heel boots periodically to inspect the skin underneath. Leaving them on continuously without proper inspection can cause moisture buildup, leading to skin breakdown.
B. Reposition every 3 hours
Repositioning the client every 3 hours is a crucial intervention to prevent skin breakdown, especially in individuals at risk, such as older adults. Prolonged pressure on specific areas of the body can lead to pressure ulcers or bedsores. Regular repositioning helps relieve pressure on vulnerable areas, improving circulation and reducing the risk of skin breakdown.
C. Apply cornstarch to keep the skin dry:
While it's essential to keep the skin clean and dry, using cornstarch can sometimes lead to moisture retention, especially in skin folds. Excess moisture can contribute to skin breakdown and fungal infections. Instead, proper hygiene practices and the use of moisture-wicking products are recommended.
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