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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Dimming the lights and reducing stimulation can be an effective nursing intervention for a patient with herpes simplex virus encephalitis who is complaining of a headache. Bright lights and excessive noise can exacerbate headaches, so creating a quiet, dimly lit environment can help to alleviate this symptom.
Choice A rationale
While administering hydromorphone as needed can help to manage the patient’s pain, it does not directly address the patient’s complaint of a headache. Moreover, opioids like hydromorphone can have side effects such as drowsiness and constipation, which may not be desirable in a patient with encephalitis.
Choice B rationale
Distracting the patient with activity may not be appropriate for a patient with herpes simplex virus encephalitis who is complaining of a headache. Rest and quiet are often more beneficial for these patients.
Choice D rationale
Initiating a patient-controlled analgesia (PCA) of morphine sulfate can provide effective pain relief for some patients, but it may not be the best first-line approach for a patient with a headache due to herpes simplex virus encephalitis. Like hydromorphone, morphine can have side effects such as drowsiness and constipation.
Correct Answer is ["4 "]
Explanation
The nurse is preparing to administer 40 mg of furosemide intravenously. The available furosemide is 10 mg/1 mL.
Step 1 is: Calculate the dose in mL using the formula: (Desired dose ÷ Available dose) × Volume.
Step 2 is: Substitute the given values into the formula: (40 mg ÷ 10 mg) × 1 mL = 4 mL. The nurse should administer 4 mL per dose.
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