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You are administering heparin and following the protocol below for a client weighing 251 lbs. The order is to administer an initial heparin IV bolus followed by a titrated IV infusion.  Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 60 units/kg Initial rate – 12 units/kg/h Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If a PTT is less than 35 secs:      Repeat bolus with 40 units/kg and increase the rate by 4 units/kg/h. If a PTT is 36 to 44 seconds:       If a PTT is 36 to 44 seconds:          Repeat bolus with 20 units/kg and increase the rate by 2 units/kg/h. If a PTT is 45 to 75 seconds:       Continue current rate. If a PTT is 76 to 90 seconds:       Decrease rate by 2 units/kg/h. If a 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 will the nurse set the pump at for the initial titrated heparin IV infusion?

A nurse is teaching a client about secondary prevention for cancer.  Which of the following statements by the client best indicates an understanding of the teaching?

The nurse educator is teaching new nurses in a pediatric unit regarding osteosarcoma. Which statement by a nursing staff indicates a need to provide further instructions?

The nurse working on the postoperative unit receives report on the following clients. Which client should the nurse prioritize to assess?

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 client receiving chemotherapy for lung cancer is admitted to the hospital for treatment of thrombocytopenia.  Which of the following statements by the client presents a priority concern for the nurse in relation to the thrombocytopenia?

Applying the nursing process, what is the nurse’s best independent intervention to evaluate the outcome of tracheostomy suctioning immediately following the suctioning?

The nurse is caring for a 67-year-old client who has returned for a two-month follow up after completing the Rituximab + CHOP regimen for non-Hodgkin  Lymphoma.  Bloodwork reveals:  WBC Count    5,800/mm3 RBC Count      5.4 million/μL Hemoglobin     12.9 g/dL Platelets     251,000/mm3                                                                       The nurse would anticipate the following order from the HCP?

A client is receiving treatment for a new diagnosis of multiple myeloma. Based on known risk factors, age, ethnicity, and accompanying clinical conditions, which client is most likely to have this disease?

A client with a history of Hemophilia A presents to the emergency department with bleeding from a cut sustained when cleaning a knife. VS T 98.4, P 78, RR 16, B/P 110/70. What should be the nurse’s next action?