Blog

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 of heparin will the client receive for the initial IV bolus?

For a client diagnosed with Immune Thrombocytopenia Purpura (ITP), which nursing intervention is appropriate? 

A nurse presenting an educational event for a local community group is addressing premenstrual syndrome (PMS). What treatment guidelines should the nurse teach this group? 

The nurse admits a 47-year-old client to the health care facility with suspected Acute Myeloid Leukemia (AML). The focused assessment for this client includes assessing for which three main consequences of AML?

A couple presents to the fertility clinic and report the inability to become pregnant. They report not using any contraception for the past 12 months. Diagnostic tests are planned for the woman to ascertain whether the uterus can support implantation. What test would the nurse expect to have ordered for this woman? 

The client diagnosed with leukemia is scheduled for a Human Stem Cell Transplant (HSCT).  In developing a post-op plan of care, which of the following interventions will need to be included. (SELECT ALL THAT APPLY).

A client presented to the emergency department after falling from a ladder. After the assessment the HCP prescribes the insertion of a urinary catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should take which action first?

The nurse is caring for a client 12 hours post-op hysterectomy.  The client presents with shortness of breath, tachycardia, hypotension, weak pedal pulses and decreased urinary output. Which complication of a hysterectomy should the nurse be most concerned about?

The nurse is assessing the client after receiving change of shift report at 7:00 AM. The assessment indicates: Dyspnea, orthopnea, BP 180/90, and jugular vein distention.  The nurse is most concerned with these assessment findings because the client:

There are three main components of communication, which of the following is not one?