Order: 200 mL normal saline bolus IV over 15 minutes
On hand: 500 mL normal saline bags
What rate will the nurse set the pump to deliver the fluid?
The Correct Answer is ["800"]
This choice is correct because it is the result of dividing the volume of the bolus (200 mL) by the time of the infusion (15 minutes) and multiplying by 60 minutes per hour. The formula for calculating the rate of the pump is:
Rate = (Volume/Time) x 60
Therefore, the rate of the pump is:
Rate = (200 mL/ 15 min) x 60 = 800 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is incorrect because spironolactone does not affect the heart rate. Checking the heart rate before each dose is not necessary.
Choice B reason: This is incorrect because spironolactone does not interact with acetaminophen. Taking acetaminophen with spironolactone will not cause bleeding.
Choice C reason: This is incorrect because spironolactone does not cause dry cough or increase blood sugar. These are not signs of adverse effects of spironolactone.
Choice D reason: This is correct because spironolactone can cause hyperkalemia, which is a high level of potassium in the blood. Bananas, cantaloupe, and spinach are high-potassium foods that should be avoided by clients taking spironolactone.
Correct Answer is C
Explanation
Choice A reason: Diet cola PO is not an appropriate recommendation for a client with a blood glucose of 30, because diet cola does not contain any sugar and will not raise the blood glucose level. Moreover, the client is lethargic and unable to follow commands, which means they may have difficulty swallowing and may aspirate the liquid.
Choice B reason: Dextrose 50% IV is a potential recommendation for a client with a blood glucose of 30, because it can rapidly increase the blood glucose level and reverse the symptoms of hypoglycemia. However, the nurse is unable to get an IV line started on the client, which makes this option impossible.
Choice C reason: Glucagon IM is the best recommendation for a client with a blood glucose of 30, because it can stimulate the liver to release glucose into the bloodstream and raise the blood glucose level. Glucagon can be given intramuscularly or subcutaneously, which does not require an IV access. Glucagon is usually given as an emergency treatment for severe hypoglycemia when the client is unconscious or unable to swallow.
Choice D reason: Insulin glargine SQ is not an appropriate recommendation for a client with a blood glucose of 30, because insulin glargine is a long-acting insulin that lowers the blood glucose level. Giving insulin to a client with hypoglycemia can worsen their condition and cause coma or death. ⁹
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