Order: Magnesium Sulfate 1 gram in 100mLs 0.09% NaCl over 2 hours. IV tubing has a drop factor of 30 gtt/mL. How many drops per minute will you give?
25 gtt/min
1500 gtt/min
50 gtt/min
83 gtt/min
The Correct Answer is C
A. 25 gtt/min: Calculating the correct rate reveals that this is not the correct answer.
B. 1500 gtt/min: This rate is too high; the calculation does not support this answer.
C. 50 gtt/min: To calculate: (100 mL / 120 min) × 30 gtt/mL = 50 gtt/min.
D. 83 gtt/min: This is too high based on the calculation.
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Correct Answer is C
Explanation
A. Calcium 10 mg/dL: This calcium level is within the normal range (8.6-10.2 mg/dL) and does not require intervention.
B. Sodium 136 mEq/L: This sodium level is within the normal range (135-145 mEq/L).
C. Potassium 2.3 mEq/L: This potassium level is critically low; bumetanide is a loop diuretic that can cause hypokalemia, which can lead to dangerous cardiac dysrhythmias.
D. Magnesium 1.4 mEq/L: While slightly low, this magnesium level is only mildly decreased and not as immediately concerning as the potassium level.
Correct Answer is ["A","C","E"]
Explanation
A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.
B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.
C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.
D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.
E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.