Nokea
A patient needs to receive 500 mL of IV fluid over 4 hours. The drop factor of the IV tubing is 15 gtt/mL. What is the flow rate in drops per minute?
- A. 31 gtt/min
- B. 42 gtt/min
- C. 62 gtt/min
- D. 75 gtt/min
Correct Answer: A
Rationale: Flow rate = (500 mL 15 gtt/mL) ÷ (4 60) = 7,500 ÷ 240 = 31.25 gtt/min, rounded to 31 gtt/min.
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A physician order is written for a patient to receive 500 mL of normal saline IV over 8 hours. If the IV infusion set delivers 15 drops/mL, how many drops per minute should the patient receive?
- A. 15 drops/min
- B. 20 drops/min
- C. 32 drops/min
- D. 64 drops/min
Correct Answer: A
Rationale: If a patient were to receive 500 mL in 8 hours, dividing 500 by 8 would mean that the patient would receive 62.5 mL in 1 hour, or 60 minutes. Setting up the equation, 15 drops/mL/X = 62.5 mL/60 minutes, and cross-multiplying, the answer will be 15 drops/min.
A nurse is preparing to administer a prescribed drug by the oral route. Which of the following would be most important for the nurse to do? Select one that does not apply.
- A. Making sure the client is in an upright position prior to administration
- B. Ensuring that a full glass of water is readily available
- C. Encourage patient to take a few sips of water before placing the medicine in the mouth
- D. Instructing the client to tilt his or her head back to swallow a capsule
Correct Answer: D
Rationale: Clients should always be in an upright position when receiving oral drugs and a glass of water should be readily available. They should be encouraged to take a few sips of water before placing the tablet or capsule in the mouth. Drugs should never be left at the client's bedside. Instruct clients to tilt their head back to swallow a tablet and slightly forward to swallow a capsule.
Which of the following is the longest acting newer antihistamine:
- A. Mequitazine
- B. Loratidine
- C. Astemizole
- D. Terfenadine
Correct Answer: C
Rationale: Astemizole has the longest duration among listed antihistamines.
One barrier to use of the Internet for both prescribing and for patient teaching is:
- A. Lack of free public access to the Internet
- B. Age, with older adults rarely understanding how to use a computer
- C. Web pages and hyperlinks may change, be deleted, or be replaced
- D. Few Web sites with information about drugs are free
Correct Answer: C
Rationale: Changing or deleted web content is a barrier to reliable online information use.
A nurse is teaching a client about the use of Fluticasone to treat Perennial Rhinitis. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should use the spray every 4 hours while I am awake.
- B. It can take as long as 3 weeks before the medication takes a maximum effect.
- C. This medication can also be used to treat motion sickness.
- D. I can use this medication when my nasal passages are blocked.
Correct Answer: B
Rationale: Fluticasone takes up to 3 weeks for full effect , a key point for managing expectations.