The nurse receives orders from the physician to notify the client ...

[Charlie]

The nurse receives orders from the physician to notify the client of an elevated cholesterol level and inform the client to increase the dosage of Lipitor (atorvastatin calcium) from 10 mg daily to 20 mg daily, and provides the nurse with a
 
  written prescription for the client. The nurse's priority action is to: 1. Call the client and leave a message on the answering machine with the information.
  2. Call the prescription to the pharmacy.
  3. Call the client and leave a message to call the office for information about lab results.
  4. Call the client and leave a message to call the office and ask for her.

Question 2

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?

[sierrahalpin]

Answer to Question 1

4
Rationale: The nurse must first call the client to determine what pharmacy the order will be called to. If the client is not home, in order to maintain privacy, it is important to ask him only to call the office without explaining why, unless he has signed a form saying it is okay to leave detailed messages on the answering machine.

Answer to Question 2

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.

[Charlie]

Thanks for the timely response, appreciate it

[at]

Gracias!