The healthcare provider (HCP) prescribes 1 liter of 0.9% sodium chloride, USP IV to be infused over 12 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["83"]
Convert liters to milliliters:
1 liter (L) = 1000 milliliters (mL)
Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total volume (mL) / Total time (hours)
= 1000 mL / 12 hours
= 83.33 mL/hr
Round to the nearest whole number:
83.33 mL/hr rounds to 83 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
24 hrs: Insulin glargine provides a steady, basal level of insulin for about 24 hours after injection. It is specifically designed for once-daily dosing to maintain blood glucose stability throughout the day and night.
15 mins: Fifteen minutes is too soon for insulin glargine to start working. This onset time is typical for rapid-acting insulins like lispro or aspart, not for long-acting basal insulins like glargine.
1 hr: Insulin glargine begins to work slowly after administration, with an onset typically around 1 hour. It does not act immediately like rapid insulins but instead gradually lowers blood glucose over an extended time.
48 hrs: A duration of 48 hours is too long for insulin glargine. Its therapeutic window is designed to last about 24 hours, supporting once-daily dosing without significant overlapping or stacking effects if scheduled correctly.
Correct Answer is A
Explanation
A. Contact the healthcare provider (HCP) immediately if suicidal thoughts occur: Antidepressants like sertraline can increase the risk of suicidal thoughts, especially during the early stages of treatment. Immediate reporting of such thoughts is critical to ensure the client’s safety and prevent harm.
B. Contact the healthcare provider (HCP) immediately if muscle stiffness occurs: Although rare, muscle stiffness could signal serotonin syndrome if occurs with a constellation of symptoms including confusion, agitation, fever, sweating and tremors, not just stiffness. Suicidal ideation presents a more immediate and life-threatening risk in clients starting antidepressants and requires the highest priority.
C. Increase activity level to include a daily exercise routine: While exercise is beneficial for managing depression, it is supportive therapy and not the most urgent teaching point compared to recognizing and reporting suicidal ideation associated with antidepressant use.
D. Avoid processed meats, red wine, and Swiss cheese: This dietary restriction is necessary when taking monoamine oxidase inhibitors (MAOIs) to prevent hypertensive crises. Sertraline is a selective serotonin reuptake inhibitor (SSRI), so these dietary precautions are not required.
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