The nurse is calculating the flow rate using the standard formula. The order is as follows: Infuse 1000 mL of D5W over 10 hours with a drip factor of 10. What are the drops per minute? Standard Text:
What will be an ideal response?
1.7 gtt/min / 27 gtt/min / 16 gtt/min
Rationale : The standard formula is: Amount of fluid (in mL) X drop factor = drops per minute. Determine the fluid per hour: 1000 mL divided by 10 hours = 100 mL. The time to infuse is now 60 minutes, or 1 hour. Amount of fluid (100 mL) X drop factor (10) = drops per minute. Time to infuse in minutes (60)100 X 10 = gtt/min 60,100 X 1 = 16.6 gtt/min; round up to nearest whole number = 17 gtt/min 6.
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During the admission assessment of a new client, which of the following factors should alert the nurse to possibility that the client is depressed and further evaluation is necessary? Standard Text: Select all that apply
1. The client reports a history of rheumatoid arthritis and type 2 diabetes, which are both well controlled. 2. The client has been late for work several times due to oversleeping during the last month. 3. The client reports a family history of depression. 4. The client has had difficulty falling asleep for the last 7 days. 5. The client reports a generalized feeling of muscle aches that have occurred over the last 3 weeks.
Equipment for examination of the anus, rectum, and prostate routinely includes gloves and:
a. a hand mirror and gauze. b. a lubricant and penlight. c. slides and normal saline. d. swabs and culture medium.
The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up the child weighed 80 pounds. According to average growth for this age group, what would be his expected current weight?
A) 81 pounds B) 85 pounds C) 87 pounds D) 89 pounds
When assessing pain in a child, the nurse needs to be aware of which of the following considerations:
a. Immature neurologic development results in reduced sensation of pain. b. Inadequate or inconsistent relief of pain is widespread. c. Reliable assessment tools are currently unavailable. d. Narcotic analgesic use should be avoided