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HESI Fundamentals Practice Exam

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The nurse observes that a male client has removed the covering form an ice pack applied to his knee. What action should the nurse take first? - Observe the appearance of the skin under the ice pack. The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor of 60gtt/ml, how many drops permin should the client receive? - 124gtt/min lbs to kg 182/2.2 = 82.73kg Dosage for the client 5mcg X 82.73 =413mcg/min mcg / ml 250/50000mcg =200 mcg/ml 2.07ml/min with a drip factor of 60gtt/ml 60 x 2.07 =124.28gtt/min A healthcare provider prescibes an IV infusion of 1000ml of Riger's Lactate with 30 units of Pitocin to run in over 4hrs for a client who has just delievered a 10lbs infant via cesarean section. The tubing has been changed to a 20gtt/ml administration set. The nurse plans to set the flow rate to how many gtt/min? - 83 gtt/min 20gtt/ml x 1000 ml/4hrs x 1hr/60mins = 83gtt/min Wich assessment data provides the most accurate determination of proper placement of a nasogastric tube? - Chest x-ray

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