A nurse practitioner orders 1 liter of 0.9% normal saline to infuse over 6 hours. How many milliliters per hour will the nurse program the IV infusion device? Round off.

160 ml/hr

125 ml/hr

100 ml/hr

167 ml/hr

Answer and Explanation

The Correct Answer is D

To calculate the milliliters per hour (mL/hr) for the IV infusion, you divide the total volume (in milliliters) by the total time (in hours).

In this case, the total volume is 1 liter, which is equal to 1000 milliliters, and the total time is 6 hours.

So, you divide 1000 mL by 6 hours:

1000 mL / 6 hours = 166.67 mL/hr

Rounding off, the nurse will program the IV infusion device to infuse at approximately 167 mL/hr.

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Correct Answer is ["A","C","D"]

Explanation

Each of your meals should contain about 10 tablespoons of food: After gastric bypass surgery, the stomach's size is reduced, and the patient's capacity to consume large quantities of food is limited. It is important to educate the patient about appropriate portion sizes to avoid overeating and potential complications.

Be certain to stay hydrated by drinking water: Hydration is crucial after gastric bypass surgery. Patients should be advised to drink enough water throughout the day to prevent dehydration and ensure proper bodily function.

Solid food can be introduced back into the diet in a week: Following gastric bypass surgery, the diet is initially limited to liquid and pureed foods. Gradually, solid foods can be reintroduced into the diet over time, typically after a week or as directed by the surgeon. This information is important for the patient to understand the progression of their diet post-surgery. You are likely to have little urine output for the first few weeks: This statement is not true and may cause unnecessary concern for the patient. Urine output should not be affected by gastric bypass surgery unless there are other complications.

Report any back, shoulder, or abdominal pain to the surgeon: While it is important to report any significant pain or discomfort to the surgeon, including back, shoulder, or abdominal pain, this is not specific to discharge teaching for gastric bypass surgery. Pain management and reporting should be covered during the post-operative care instructions, but it is not limited to discharge teaching alone.

A. Sodium level 144 B. Potassium level 1.5 mEq/L C. Blood pressure 102/78 D. Calcium level 9 mg/L

Correct Answer is B

Explanation

Loop diuretics, such as furosemide, are known to cause potassium loss as they increase urine output. A potassium level of 1.5 mEq/L indicates severe hypokalemia (low potassium levels), which can be potentially dangerous and lead to various complications, including cardiac arrhythmias.

Hence, it is important to hold the dose of the loop diuretic and notify the physician so that appropriate interventions can be taken to address the low potassium level, such as prescribing potassium supplementation or adjusting the dosage of the loop diuretic.

A sodium level of 144 is within the normal range (135-145 mEq/L) and does not require immediate action.

A blood pressure of 102/78, although it may indicate hypotension, does not necessarily require holding the dose of the loop diuretic unless it is accompanied by other significant symptoms or clinical concerns.

A calcium level of 9 mg/dL falls within the normal range (8.5-10.5 mg/dL) and does not necessitate holding the loop diuretic dose.

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A nurse practitioner orders 1 liter of 0.9% normal saline to infuse over 6 hours. How many milliliters per hour will the nurse program the IV infusion device? Round off.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What discharge teaching will the nurse provide to a patient who has gastric bypass surgery? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?

Correct Answer is B

Explanation

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