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The client is on heparin therapy via an infusion for a pulmonary embolism. The nurse assesses: dark amber urine, hypotension, tachycardia and bleeding gums. Prior to notifying the HCP, which lab values are the greatest priority in the nurse’s assessment?

The nurse educator is teaching a group of nursing students about preventing the spread of Syphilis. Which of the following statements will you include in the teaching? Select All That Apply:

The nurse is administering methotrexate to a client with non-Hodgkin lymphoma. What is the nurse’s priority assessment prior to administration of this medication?

A nurse is caring for a client diagnosed with a pneumothorax who had a chest tube inserted 4 hours prior.  There is vigorous bubbling in the water seal chamber of the chest tube drainage system. What is the nurse’s best action?

A client with asthma is receiving albuterol.  When teaching the client about the use of albuterol it is most important that the nurse include which of the following?

A client is receiving her third course of fluorouracil therapy and knows that Stomatitis is a potential adverse effect of antineoplastic therapy.  What will the nurse teach her client about managing stomatitis?

The client just had a thoracentesis for a recurrent left lower lung pleural effusion caused by lung cancer. The thoracentesis removed 1000 mL of fluid.  Based on this information, which post procedure client assessment necessitates a priority intervention by the nurse?

The nurse is performing an assessment on a client who was just brought to the ED complaining of fatigue. Upon assessment, the nurse observes a large amount of bruising on the extremities, fever, and tenderness localized in the left upper quadrant. A health history reveals frequent infections for the past 2 months. Laboratory tests indicate severe anemia, significant neutropenia, and thrombocytopenia. Based on the symptoms, what could be the client’s diagnosis? 

The nurse educator is giving a presentation on prostate cancer at the local adult community. Which of the following should the nurse include in the presentation? Select All That Apply:

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?