Order: 1000 mL of D5½NS with 1 ampule of multiple vitamins to infuse over 8 hours

Available: Macrodrip set: 15 gtt/mL

Calculate the IV flow rate in gtt/min.

A) 600 g
This is incorrect because it represents the quantity 600 grams, which is a significantly larger amount than "six hundredth." The phrase "six hundredth" refers to six out of 100, or 0.06 in decimal form. In the metric system, 600 grams would indicate a much higher quantity, far from what is requested. Therefore, this option does not fit the definition of "six hundredth."

B) 0.06 g
The term "six hundredth" refers to six parts out of one hundred, which is mathematically expressed as 0.06. In the metric system, it is common to represent small quantities of mass, such as grams, in decimal form. The number 0.06 is precisely six hundredths, and the proper representation for this in terms of grams is 0.06 g. This is the correct scientific notation for the given quantity, as it accurately reflects six hundredths of a gram.

C) 0.006 g
This is incorrect because 0.006 grams represents six thousandths, not six hundredths. In decimal notation, six thousandths would be represented as 0.006, which is one order of magnitude smaller than six hundredths. The difference between 0.006 and 0.06 is significant. While both numbers are small, 0.006 would refer to an even smaller quantity than 0.06, which is not in line with the intended meaning of "six hundredth."

D) 0.6 g
While 0.6 grams may appear similar at first glance, it represents six-tenths (6/10), not six hundredths (6/100). The number 0.6 is much larger than 0.06, and it would be used to indicate a weight that is 60% of a gram, not a small fraction like six hundredths.

A) Bradycardia
Bradycardia (a slow heart rate) is not the most common response to nitroglycerin (NTG). While NTG can affect heart rate in some individuals, its primary action is related to blood vessels, and it typically leads to vasodilation, which more commonly results in reflex tachycardia (an increased heart rate), rather than bradycardia.

B) Tachycardia
Tachycardia (an increased heart rate) can occur as a compensatory mechanism when nitroglycerin causes vasodilation and a decrease in blood pressure. However, this is more of a secondary effect. The primary action of nitroglycerin is to lower blood pressure (by dilating blood vessels), and in response to the lowered blood pressure, the body may try to compensate by increasing the heart rate.

C) Hypotension
The most common and primary response to nitroglycerin (NTG) administration is hypotension. Nitroglycerin works by relaxing smooth muscle in blood vessels, leading to vasodilation (widening of blood vessels). This reduces the amount of work the heart has to do and lowers the overall blood pressure. Hypotension is expected as part of the therapeutic effect of NTG, especially with a larger dose or rapid administration (e.g., sublingual NTG).

D) Dry mouth
While many medications can cause dry mouth (especially anticholinergic drugs), nitroglycerin is not typically associated with this issue. Its primary action is vasodilation, and while it can cause other symptoms like headaches, dizziness, and hypotension, dry mouth is not considered a common or significant effect.