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A client with a history of chronic alcohol use is admitted with hepatic encephalopathy. Which of the following nursing interventions is most important?

A client who is HIV positive has been prescribed a combination of antiretroviral medications (ART). The nurse educates the client on the importance of strict adherence to the prescribed medication schedule, including dosage, timing, and frequency. Why is adherence to the antiretroviral regimen so critical?

A provider orders a heparin drip for a patient following surgery. The patient weighs 236 lbs. The initial infusion is ordered to start at 18 units/kg/hr and the pharmacy sends a bag of 25,000 units of heparin in 250 mL. What rate will the nurse start the infusion in ____ml/hr? (Round to the nearest tenth if appropriate.) 

The provider orders tagamet 25 mg/kg/day IV to be administered in four divided doses. Each dose should infuse over 15 minutes. The patient weighs 150 lbs. The stock supply of tagamet is 3 grams in 5 mL with instructions to reconstitute to a final concentration of 0.1 grams/1 mL.  How many mL of solution will the nurse add to obtain the desired concentration?

A patient with a femoral fracture is in skeletal traction. When repositioning the patient in bed, which action should the nurse take regarding the traction weights?    

The provider orders erythromycin suspension 20 mg/kg/day PO as a total daily dose. The patient receives the med QID (in four equally divided doses). The patient weighs 44 lb. How many mL will the patient receive per dose?

A patient is admitted for surgical repair of a femur fracture sustained in a motor vehicle accident 36 hours ago.  Which finding does the nurse recognize as a late sign of fat embolism syndrome (FES)?   

An infusion is running at 80 mL per hour. The nurse hangs a bag of 750 mg/500 mL. Two hours into the infusion, the IV infiltrates and the IV infusion is stopped. How many mg of the medication has the patient received? (Round to the nearest tenth if appropriate.)

A nurse is caring for a client in the early to middle stages of Alzheimer’s disease. Which nursing intervention best promotes the client’s independence while maintaining safety?

A nurse attempts to insert a standard Foley catheter into a 76-year-old male client with known benign prostatic hyperplasia (BPH) who is experiencing acute urinary retention. The nurse meets resistance during insertion and the client reports discomfort. What is the most appropriate next action?