Chapter 53: Fluids, Electrolytes, and Parenteral Therapy - Nurselytic

Questions 32

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Roach's Introductory Clinical Pharmacology 11th Edition

Chapter 53 Questions

Question 1 of 5

The use of an infusion pump or controller still requires nursing supervision and frequent monitoring of the IV infusion to monitor for signs of infiltration. Assessment of which of the following at the infusion site would lead the nurse to suspect that infiltration is occurring? Select all that apply.

Correct Answer: A,E

Rationale: It is important for the nurse to monitor frequently for signs of infiltration while an infusion pump is in use. The signs of infiltration include edema and redness at the infusion site.

Question 2 of 5

A physician orders normal saline for a client to replace lost fluids due to poor oral intake. The order is for 1000 mL normal saline to be infused over a period of 6 hours. If the drop factor is 20 drops/mL, the nurse would set the IV flow rate at

Correct Answer: B

Rationale: 1000 mL / 6 hours = 166.7 mL/hr; 166.7 mL/hr ? 1 hr/60 min = 2.8 mL/min; 2.8 mL/min ? 20 = 55.5 or 56 drops/min.

Question 3 of 5

A physician orders normal saline for a client to replace lost fluids due to poor oral intake. The order is for 1000 mL D5W to be infused over a period of 4 hours. If the drop factor is 5 drops/mL, the nurse would determine the IV flow rate to be

Correct Answer: B

Rationale: 1000 mL / 4 hours = 250 mL/hr; 250 mL/hr ? 1 hr/60 min = 4.17 mL/min; 4.17 mL/min ? 5 = 20.8 or 21 drops/min.

Question 4 of 5

A physician orders levofloxacin (Levaquin) for a client to treat infection. The order is for levofloxacin (Levaquin) 500 mg/100 mL to be infused over a period of 1 hour. The IV infusion set has a drop factor of 10 drops/mL. The nurse would set the infusion flow rate at

Correct Answer: B

Rationale: 100 mL / 1 hour = 100 mL/hr; 100 mL/hr ? 1 hr/60 min = 1.67 mL/min; 1.67 mL/min ? 10 = 16.7 or 17 drops/min.

Question 5 of 5

A physician orders levofloxacin (Levaquin) for a client to treat infection. The order is for levofloxacin (Levaquin) 1000 mg/50 mL to be infused over a period of 1 hour. The IV infusion set delivers 15 drops/mL. The nurse would set the infusion rate at

Correct Answer: B

Rationale: 50 mL / 1 hour = 50 mL/hr; 50 mL/hr ? 1 hr/60 min = 0.83 mL/min; 0.83 mL/min ? 15 = 12.5 or 13 drops/min.

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