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A 20-year-old client states “I don’t know where this swelling here in my chest came from.” The nurse palpates an enlarged lymph node on the right side of the sternum . The nurse understands the presentation correlates to which potential disorder? 

The nurse is placing an indwelling catheter for a male client with a history of urinary retention.  Which principle takes priority? 

The nurse is comparing physical characteristics of 4 different newborns in the nursery. During an initial assessment, the nurse would expect to note what finding on a post-term newborn?

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  6 hours later the PTT results from the lab are- PTT 100 secs for this patient. The client is currently receiving 20units/kg/h After HOLDING the infusion for 1 hour.  What rate (mL/h) will the nurse set the pump at for the titrated heparin IV infusion in response to the PTT of 100 secs?

The nurse is leading a workshop on sexual health for men. Which of the following are described as physiological causes of erectile dysfunction? SELECT ALL THAT APPLY

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 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: