An emergency room nurse implements fluid replacement for a client with severe burn injuries. The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL
At what rate should the nurse administer the infusion? (Record your answer using a whole number and rounding to the nearest drop.) ____ drops/min
ANS:
333 drops/min
1000 mL divided by 90 minutes, then multiplied by 30 drops, equals 333 drops/min.
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A newly admitted 80-year-old patient with hemiplegia is fully alert. Which is the most appropri-ate greeting by the nurse?
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A patient in the progressive stage of shock is receiving medication to manage the symptoms. What is the desired effect of the medication?
a. Increase in cardiac output b. Decrease in blood pressure c. Decrease in urine output d. Lower temperature
After a myocardial infarction, a patient has slowing of atrial contraction. The nurse would anticipate seeing the most evidence of this dysfunction in which part of the electrocardiogram tracing?
1. T wave configuration 2. QRS complex 3. QT interval 4. PR interval
A change in practice is being considered on a hospital unit that is producing an unacceptably high number of incident reports. Which of the following characteristics of the unit best exemplifies the first stage of Duck's Change Curve model?
A) A directive to change has been received but ignored. B) The nurses on the unit lack knowledge and experience. C) Relationships between staff and disciplines on the unit are antagonistic. D) The leadership and culture of the unit are stagnant.