A patient has an order for Normal Saline 1000 mL to infuse over 3 hours. The medication will be infused with an IV pump.

How many mL/h should the IV pump be programmed for?

Answer and Explanation

The Correct Answer is ["333"]

To calculate the infusion rate, we need to divide the total volume to be infused by the total time of infusion and then multiply by 60 to convert to mL/h:

1000 mL ÷ 3 hours = 333.33 mL/h

Rounding to the nearest whole number, the IV pump should be programmed for 333 mL/h.

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Correct Answer is C

Explanation

A.This option is incorrect because a PVR of 400 mL is significantly higher than normal. Documenting without further intervention could lead to complications if the high residual volume persists.

B.While an external catheter may be beneficial for managing incontinence or monitoring urine output, it does not address the underlying issue of urinary retention. An external catheter would not relieve the retained urine in the bladder.

C.A post-void residual (PVR) of 400 mL is abnormally high, indicating that the bladder is not emptying effectively, which can lead to discomfort, urinary tract infection (UTI), and potential kidney issues if left untreated. An in-and-out catheterization allows for temporary relief by emptying the bladder and can also help prevent bladder distention. Contacting the physician to report the findings and obtain an order is appropriate to manage this condition safely.

D. Encouraging the client to attempt voiding again without intervention may not be effective in reducing the high PVR. This delay could increase the risk of bladder distention and discomfort.

A. Give the patient something to do while in bed, such as a coloring book or puzzle. B. Play music or video selections of the patient's choice. C. Place all 4 side rails up to prevent the patient from getting out of bed and falling. D. Reduce stimulation noise, and light to calm the patient.

Correct Answer is C

Explanation

The correct answer is choice C, Place all 4 side rails up to prevent the patient from getting out of bed and falling.

When considering alternatives to restraints for a confused and agitated patient who is at high risk for falls, placing all 4 side rails up to prevent the patient from getting out of bed and falling is not an appropriate alternative. This action can be considered as restraint use and can increase the patient's agitation and risk for injury. Instead, the nurse should provide the patient with activities to do while in bed, play music or video selections of the patient's choice, and reduce stimulation noise and light to calm the patient.

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A patient has an order for Normal Saline 1000 mL to infuse over 3 hours. The medication will be infused with an IV pump. How many mL/h should the IV pump be programmed for?

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Naxlex Comprehensive Predictor Exams

A client had his Foley catheter removed six hours ago and has just voided for the first time. The nurse performs a bladder scan to check for any post-void residual. The results of the post-void residual (PVR) from the bladder scan are 400mL of urine. What should the nurse do next?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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A patient has an order for Normal Saline 1000 mL to infuse over 3 hours. The medication will be infused with an IV pump.

How many mL/h should the IV pump be programmed for?