Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Prescription Order: 1g in 50 mL to infuse over 30 minutes; gtt factor= 15gtts/1mL. How many drops per minute will you infuse?
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Nur214 proctored exam. Take the full exam now
Full Explanation
Step 1: Convert the total volume to be infused from grams to milliliters. Since 1 gram is equivalent to 1,000 milligrams (mg), then 1 gram is equal to 1,000 mg. Therefore, 1g in 50 mL is equivalent to 1,000 mg in 50 mL.
Step 2: Determine the total infusion time in minutes. Since the order is to infuse over 30 minutes, the total infusion time is 30 minutes.
Step 3: Calculate the rate of infusion in milliliters per minute (mL/min). This is done by dividing the total volume in milliliters by the total time in minutes. So, (50 mL ÷ 30 min) equals approximately 1.67 mL/min.
Step 4: Calculate the number of drops per minute. This is done by multiplying the rate of infusion in mL/min by the drop factor in drops/mL. So, (1.67 mL/min × 15 gtt/mL) equals approximately 25 drops per minute. Therefore, you will infuse approximately 25 drops per minute.
Similar Questions
When caring for the patient with left sided heart failure, which of the following are subjective symptoms?
A. Patient verbalizes frequent fatigue.
Fatigue is a subjective symptom because it is experienced and reported by the patient. Patients with left-sided heart failure often experience fatigue due to the heart’s inability to pump sufficient blood to meet the body’s needs.
B. Elevated pulmonary capillary wedge pressure.
Elevated pulmonary capillary wedge pressure is an objective symptom that can be measured and observed by healthcare professionals. It is not something that a patient can directly experience or report.
C. Orthopnea.
Orthopnea, or difficulty breathing when lying flat, is a subjective symptom as it is based on the patient’s personal experience. However, it is not the best answer in this case because the question asks for the “subjective symptoms,” and fatigue is a more common subjective symptom of left-sided heart failure.
D. Cyanosis.
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective symptom that can be observed by healthcare professionals. It is not something that a patient can directly experience or report.
Full Explanation
Choice A rationale
Fatigue is a subjective symptom because it is experienced and reported by the patient. Patients with left-sided heart failure often experience fatigue due to the heart’s inability to pump sufficient blood to meet the body’s needs.
Choice B rationale
Elevated pulmonary capillary wedge pressure is an objective symptom that can be measured and observed by healthcare professionals. It is not something that a patient can directly experience or report.
Choice C rationale
Orthopnea, or difficulty breathing when lying flat, is a subjective symptom as it is based on the patient’s personal experience. However, it is not the best answer in this case because the question asks for the “subjective symptoms,” and fatigue is a more common subjective symptom of left-sided heart failure.
Choice D rationale
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective symptom that can be observed by healthcare professionals. It is not something that a patient can directly experience or report.
The nurse understands that they need to practice in a way that can be explained to the patients and employer. Which of the following terms is this an example of?
A. Advocacy.
Advocacy in nursing refers to supporting, promoting, and protecting the rights, safety, and wellbeing of patients. While it is important for nurses to be able to explain their practice, this scenario does not specifically illustrate advocacy.
B. Autonomy.
Autonomy in nursing refers to the right of patients to make informed decisions about their medical care. This scenario does not specifically illustrate autonomy.
C. Accountability.
Accountability in nursing refers to being answerable for one’s actions and practice. The ability to explain one’s practice to patients and employers is a key aspect of accountability.
D. Responsibility.
Responsibility in nursing refers to the obligations and duties that come with the nursing role. While being able to explain one’s practice is part of a nurse’s responsibilities, it is more directly related to accountability.
Full Explanation
Choice A rationale
Advocacy in nursing refers to supporting, promoting, and protecting the rights, safety, and wellbeing of patients. While it is important for nurses to be able to explain their practice, this scenario does not specifically illustrate advocacy.
Choice B rationale
Autonomy in nursing refers to the right of patients to make informed decisions about their medical care. This scenario does not specifically illustrate autonomy.
Choice C rationale
Accountability in nursing refers to being answerable for one’s actions and practice. The ability to explain one’s practice to patients and employers is a key aspect of accountability.
Choice D rationale
Responsibility in nursing refers to the obligations and duties that come with the nursing role. While being able to explain one’s practice is part of a nurse’s responsibilities, it is more directly related to accountability.
The nurse is working at a clinic that assists minority patients.
The nurse notes that the physician refuses to use a translator and gives the patients materials only in English. The nurse notes that the physician is guilty of which of the following?
A. Discrimination.
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
B. Ethnocentrism.
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
C. Stereotyping.
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
D. Acculturation.
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.
Full Explanation
Choice A rationale
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
Choice B rationale
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
Choice C rationale
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
Choice D rationale
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.