Author Question: A patient with an upper respiratory infection reports feeling like the heart is pounding. After ... (Read 110 times)

mpobi80 · **on:** Jul 23, 2018

A patient with an upper respiratory infection reports feeling like the heart is pounding. After checking that the patient is not having chest pain or difficulty breathing, what is the most impor-tant question the nurse must ask the patient?

a. How long have you had upper respiratory infection symptoms?
b. Are you using any over-the-counter cold or cough drugs?
c. Is this the first time you have felt like this?
d. What exercise have you done today?

Question 2

A patient is to receive 125 mL of intravenous fluid per hour and the drop factor is 10 gtt per mL. The nurse counts the 15-second drip rate to be 8 gtt per minute. What is the nurse's best action?

a. Nothing, the IV flow rate is correct.
b. Turn the rate down to 5 gtt/15 seconds.
c. Turn the rate up to 11 gtt/15 seconds.
d. Turn the rate up to 15 gtt/15 seconds.

Missbam101 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Over-the-counter cold and cough drugs containing pseudoephedrine (e.g., Sudafed) can cause a rapid heart rate (tachycardia).

Answer to Question 2

B
At 125 mL per hour, the patient should receive 2 mL per minute (125 mL 60 min). With a drop factor of 10 gtt/mL, the total number of drops per minute should be 20 . The 15-second drop rate should be 5 (20 gtt/min 4).