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A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following are assessment findings for thrombosis and bleeding in disseminated intravascular coagulation (DIC)? SELECT ALL THAT APPLY)

A nurse identifies all of these findings when assessing a client who has Postpartum Depression. Which finding should the nurse report to the provider immediately?

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/h 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/h If  PTT is 36 to 44 seconds:       Repeat bolus with 40 units/kg and increase the rate by 2 units/kg/h 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/h If  PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/h Available (for bolus)  – heparin 1,000 units/mLAvailable (for infusion) –  heparin 25,000 units in 250 mL D5W    What rate (mL/h) will the nurse set the pump at for the initial titrated heparin IV infusion?

A nurse is caring for a 25-year-old woman newly diagnosed with genital herpes. The priority Nursing goals for care of this client at this time would be:

The clinical nurse educator is preparing a presentation regarding health promotion education for clients who were just diagnosed with non-Hodgkin lymphoma. To decrease the risk of disease related complication the nurse educator should recommend to a client which of the following actions? 

You are transferring a client with newly diagnosed Chronic Myeloid leukemia to an Extended Care Facility. Which information is most important to communicate to the charge nurse at the Extended Care Facility? 

A neonate born at 41 weeks gestation is diagnosed as large for gestational age (LGA). The neonate was delivered via vaginal delivery. A shoulder dystocia occurred and was corrected with McRoberts maneuver and suprapubic pressure. Upon assessment the moro reflex is absent in the right upper extremity. Which of the following birth injuries would be suspected?

A nurse working on the maternity unit and caring for 4 patients. The nurse knows that which patient needs to be a scheduled cesarean section delivery?

The nurse is assessing the stool of a newborn who is breastfeeding and 5 days old.  Which stool is normal at this time?

The health care provider orders Pitocin 18 mu/min. Pharmacy supplies with Pitocin 20 units in 500 ml of NS. What do you set the pump in mL/hr