Author Question: A patient with unstable ventricular dysrhythmia is prescribed lidocaine 200 mg by intravenous (IV) ... (Read 33 times)

xclash · **on:** Jul 23, 2018

A patient with unstable ventricular dysrhythmia is prescribed lidocaine 200 mg by intravenous (IV) piggyback in 100 mL of IV solution.

With an IV infusion set that has a drop factor of 15 gtt/mL, how many drops per minute does the nurse set the IV rate to deliver the correct dose in the specified time? a. 10
b. 25
c. 50
d. 100

Question 2

A patient is receiving an intravenous (IV) infusion of solution containing 60 mEq/L of potassium chloride. Which nursing action allows early detection of complications common to this therapy?

a. Lowering the IV bag below the level of the IV site to obtain a blood return
b. Palpating the vein above the IV site in which the cannula is placed
c. Placing a light source on the tissue around the IV site
d. Checking the pulse distal (lower than) to the IV

xMRAZ · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
For 100 mL to infuse in 1 hour, divide 100 by 60 (minutes) to equal 1.66 mL per minute. At a drop factor of 15 gtt/mL, multiply 1.66 by 15, = 24.9 gtt/minute; round up to 25.

Answer to Question 2

B
Potassium chloride is an irritant that can traumatize the vein and stimulate the response of phle-bitis. When phlebitis is present, the vein feels hard and cordlike above the IV insertion site.