You are administering heparin and following the protocol bel…

You are administering heparin and following the protocol below for a client weighing 189 lbs. The order is to administer an initial heparin bolus IV followed by a titrated IV infusion. Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 50 units/kg Initial rate – 18 units/kg/hr Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If  PTT is less than 35 secs:      Repeat bolus with 80 units/kg and increase the rate by 4 units/kg/hr. If  PTT is 36 to 44 seconds:       Repeat bolus with 40 units/kg and increase the rate by 2 units/kg/hr. If  PTT is 45 to 75 seconds:       Continue current rate. If  PTT is 76 to 90 seconds:       If  PTT is 76 to 90 seconds:          Decrease rate by 2 units/kg/hr. If  PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/hr. Available (for bolus)  – heparin 1,000 units/mLAvailable (for infusion) –  heparin 25,000 units in 250 mL D5W    How many mL will the client receive for the repeat heparin IV bolus in response to the PTT of 40 secs?

A 52-year-old client comes to the emergency department compl…

A 52-year-old client comes to the emergency department complaining of fatigue, headache, and difficulty concentrating.  The nurse notes a ruddy complexion. Labs show an elevated RBC, Hgb 22g/dL, and Hct 63%. Based on these labs, the nurse would anticipate the HCP ordering which of the following? 

The nurse is taking care of a 40-year-old client complaining…

The nurse is taking care of a 40-year-old client complaining of chronic, thick, persistent mucus production in the lower airway. The provider ordered chest physiotherapy and postural drainage. The nurse explains that after the client is positioned for postural drainage the nurse will perform which action to help loosen secretions?

A client is 4 days post-op a vaginal hysterectomy. The indwe…

A client is 4 days post-op a vaginal hysterectomy. The indwelling urinary catheter was removed 24 hours ago and is now complaining of burning with urination. The urine output for the previous shift was 410 mL, VS:  are T 100.1° F, HR 84; RR 20, and BP 110/70. Which of these newly received orders from the HCP will the nurse prioritize and implement?