To calculate the desired hourly flow rate of an IV infusion, the nurse follows which of these steps?
a. Multiply the volume of fluid by the total infusion hours.
b. Divide total volume by total infusion hours.
c. Multiply drops per mL by the total infusion hours.
d. Divide drops per mL by the total infusion hours.
B
To set the flow rate for a client's IV infusion: prepare to set the flow rate (have paper and pencil ready to calculate, review calibration in drops per mL of each infusion set) and determine hourly rate by dividing total volume by total hours to be infused.
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The nurse finds a patient slumped to the floor and unconscious, with no pulse or respiration. The nurse should begin the protocol of:
1. basic life support. 2. advanced life support. 3. cardiopulmonary resuscitation. 4. first aid care.
The nurse is caring for a client in labor. The nurse determines that the client is beginning the second stage of labor when which of the following is documented in the client's record?
1. The contractions are regular. 2. The membranes have ruptured. 3. The cervix is completely dilated. 4. The client begins to expel clear vaginal fluid.
The type of information that is measured or observed is called:
a. personal information. b. nursing information. c. subjective information. d. objective information.
Which statement indicates to the nurse that the client needs further medication instruction about colestipol (Colestid)?
a. "The medication may cause constipation, so I will increase fluid and fiber in my diet." b. "I should take this medication 1 hour after or 4 hours before my other medications." c. "I might need to take fat-soluble vitamins to supplement my diet." d. "I should stir the powder in as small an amount of fluid as possible to maintain potency of the medication."