The nurse is preparing to administer 1600 mL of total parental nutrition (TPN) over 24 hours.

The nurse should set the IV pump to deliver how many mL/hr?

Answer and Explanation

The Correct Answer is ["66.7"]

Step 1 is (1600 mL ÷ 24 hours).

Answer is 66.7 mL/hr.

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Correct Answer is B

Explanation

Choice A rationale

Bipolar disorder is an approved indication for valproic acid use. It helps stabilize mood swings, particularly mania, making it a suitable treatment rather than a contraindication.

Choice B rationale

Pre-existing liver disease contraindicates valproic acid because it increases the risk of hepatic toxicity and liver failure. Liver function must be closely monitored in all patients receiving this drug.

Choice C rationale

Asthma is not affected by valproic acid use as the drug targets neurological pathways and does not impact respiratory or bronchial systems significantly.

Choice D rationale

Valproic acid is used to treat migraines and seizures. It prevents the occurrence of severe headaches through stabilization of neuronal activity, making this an appropriate rather than contraindicated use. .

Correct Answer is ["56"]

Explanation

Step 1 is (250 mL ÷ 90 min) × 20 gtt/mL.

Step 2 is (2.777 mL/min × 20 gtt/mL).

Step 3 is 55.55 gtts/min. The final calculated answer is 56 gtts/min.

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The nurse is preparing to administer 1600 mL of total parental nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr?

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Naxlex Comprehensive Predictor Exams

The nurse knows that an important contraindication for valproic acid use is:

Correct Answer is B

Explanation

A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?

Correct Answer is ["56"]

Explanation

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The nurse is preparing to administer 1600 mL of total parental nutrition (TPN) over 24 hours.

The nurse should set the IV pump to deliver how many mL/hr?