A 92-year-old male with congestive heart failure is discharged to home from the hospital. This is his second hospitalization in 6 weeks for the same problem. The client is referred to the home care nurse
in an attempt to minimize future rehospitalizations. When assessing the client's medication regime, the nurse finds out that he is on two oral medications. What else should the nurse assess regarding medications?
A) Ability of the client to open his medication bottle
B) Average weight and any change since discharge
C) Ability to give himself an injection
D) Understanding of the disease process
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Which of these physiologic needs would the nurse initially find MOST problematic for the terminally ill client?
a. respirations c. exercise b. nutrition d. skin care
A client diagnosed with a stroke is going to receive treatment with fibrinolytic therapy using the recombinant tissue plasminogen activator alteplase
Which information will the nurse include when performing medication teaching for the client's family? A) Used to treat thrombotic and hemorrhagic strokes B) Not associated with serious complications C) Indicated if the stroke symptoms have occurred within the last 6 hours D) Administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain
The intended recipient of an original message is which one of the following elements of communications?
a. Decoder b. Encoder c. Sender d. Sensory channeler
The following questions refer to your patient who is on IV heparin therapy according to the "Standard Weight-Based Heparin Protocol" noted below. The patient weighs 144 pounds. On admission, the patient's APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the "Standard Weight Based Heparin Protocol Worksheet" by
your instructor. Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg. 2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s). 5. Obtain APTT and PT/INR on day one prior to initiation of therapy. 6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive. 7. Neuro checks every ____ hours while on heparin. Notify physician of any changes. 8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered. 9. Notify physician of any bleeding problems. 10. Bolus with 80 units/kg. Start drip at 18 units/kg/h. 11. If APTT is < 35 secs: Rebolus with 80 units/kg and increase rate by 4 units/kg/h. 12. If APTT is 36-44 secs: Rebolus with 40 units/kg and increase rate by 2 units/kg/h. 13. If APTT is 45-75 secs: Continue current rate. 14. If APTT is 76-90 secs: Decrease rate by 2 units/kg/h. 15. If APTT is > 90 secs: Hold heparin for 1 hour and decrease rate by 3 units/kg/h. Calculate the dosage of heparin that should be administered for the bolus for this patient. ? __________ units ? What does the protocol indicate as the required solution concentration (supply dosage) of heparin to use for the bolus? ? __________ units/mL ? Calculate the dose volume of heparin that should be administered for the bolus for this patient. ? __________ mL Fill in the blank(s) with correct word