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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    How many mL will the client receive for the repeat heparin IV bolus in response to the PTT of 40 secs?

Of the 700 lymph nodes in the body, how many are located in the neck?

National histories are histories of nations–the great events and figures. According to your authors, national histories may ________.

Which of the following submandibular findings would not be considered notable?

Systematic visual inspection should be done of what structures?

What are the 2 primary examination techniques:

Placing children with special needs in regular classrooms is referred to as inclusion.

A child has completed treatment for leukemia and comes to the clinic for a check-up with the parents.  The parents express to the nurse that they are glad their child has been cured of cancer and is safe from getting cancer later in life.  Which of the following should the nurse consider in responding?

A 68 year old male presents with suspected bladder cancer. You consider the most common presenting sign or symptom for bladder cancer is: 

A wasp and a ladybug are flying towards each other as shown in the picture. At the moment you first observe the insects (the moment pictured, t = 0), the wasp is at x = 0 and the ladybug at x = 7 m. The wasp travels with a constant velocity of VW= +4 m/s and the ladybug has a velocity that varies with time according to VLB = -6t m/s, where t is the time measured in seconds. At what position will the two insects meet?