A patient with hypotension has an order for 1000 mL of 0.9% Normal Saline over 3 hours.

The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (This is a med math nd does not require options)

Answer and Explanation

The Correct Answer is ["56"]

Step 1 is to calculate the total drops per hour. This is done by multiplying the total volume of the solution by the drop factor and then dividing by the total time in minutes. So, (1000 mL × 10 gtt/mL) ÷ 180 min = 55.56 gtt/min. The final calculated answer is approximately 56 gtt/min when rounded to the nearest whole number.

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Correct Answer is A

Explanation

Choice A rationale
Speaking slowly and clearly using yes/no questions one at a time can help facilitate communication with a client diagnosed with aphasia.
Choice B rationale

Asking a family member if they know what the client wants may not always be effective, as the client may have difficulty expressing their needs even to family members.
Choice C rationale
Repeating the same question multiple times may not be effective and could potentially frustrate the client.
Choice D rationale
Putting a cell phone in their right hand to text their questions assumes that the client has the ability to text, which may not be the case for all clients diagnosed with aphasia.

A. Twenty to thirty minutes after the onset of symptoms. B. As soon as the patient senses the onset of the symptoms. C. As soon as the patient’s pain becomes unbearable. D. When the patient senses their symptoms are peaking.

Correct Answer is B

Explanation

Choice B rationale
Patients who experience severe cluster headaches should be instructed to take medications as soon as they sense the onset of symptoms. Cluster headaches are characterized by severe, debilitating pain that reaches peak intensity within a short period of time, often within 15 minutes. Therefore, early intervention is crucial to manage the pain effectively.
Choice A rationale

Waiting twenty to thirty minutes after the onset of symptoms to take medications may not be effective for cluster headaches. The pain of a cluster headache often reaches peak intensity within 15 minutes, so delaying medication could result in unnecessary suffering.
Choice C rationale
Waiting until the patient’s pain becomes unbearable is not recommended for managing cluster headaches. The goal of treatment is to prevent or reduce pain, not to wait until it becomes unbearable.
Choice D rationale
Taking medications when the patient senses their symptoms are peaking is not the most effective strategy for managing cluster headaches. Given the rapid onset and severe pain associated with cluster headaches, medications should be taken as soon as the patient senses the onset of symptoms.

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A patient with hypotension has an order for 1000 mL of 0.9% Normal Saline over 3 hours. The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (This is a med math nd does not require options)

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client that has been diagnosed with aphasia. How can the nurse communicate effectively with the client?

Correct Answer is A

Explanation

A nurse is caring for a patient who experiences severe cluster headaches. At what point in the course of a new headache should the patient be instructed to take medications?

Correct Answer is B

Explanation

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A patient with hypotension has an order for 1000 mL of 0.9% Normal Saline over 3 hours.

The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (This is a med math nd does not require options)