In the acute phase after STEMI, fibrinolytic therapy is used in combination with heparin to recanalize the coronary artery. The initial heparin bolus is
a. 60 units/kg maximum 5000 units.
b. 30 units/kg maximum 3000 units.
c. 25 units/kg maximum of 2500 units.
d. 12 units/kg maximum of 1000 units.
A
In the acute phase after ST segment elevation myocardial infarction, heparin is administered in combination with fibrinolytic therapy to recanalize (open) the coronary artery. For patients who will receive fibrinolytic therapy, an initial heparin bolus of 60 units/kg (maximum, 5000 units) is given intravenously followed by a continuous heparin drip at 12 units/kg/hr (maximum 1000 units/hr) to maintain an activated partial thromboplastin time between 50 and 70 seconds (1.5-2.0 times control).
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The nurse instructs the client with a suprapubic catheter to notify the physician if he/she experiences
A. Pain on urination. B. Temperature of 99.6°F. C. Bladder pain. D. Urine output of 1800 mL.
The nurse is caring for a patient who is hospitalized with cognitive impairment. The following interventions will assist the patient in orientation: (Select all that apply.)
a. Keep a photo of the family in the room. b. Use a clock on the wall. c. Make sure the room is kept bright and well lit. d. Avoid moving the patient from room to room. e. Have the nurse introduce himself or herself to the patient.
The principle that requires nurses to uphold a professional code of ethics, to practice within the code of ethics, and to remain competent is which of the following?
a. Veracity b. Autonomy c. Fidelity d. Honesty
A patient being prepared for surgery has been diagnosed with dehydration. Which laboratory values support the diagnosis for this patient?
1. hemoglobin and hematocrit 2. glucose 3. white blood cell count 4. platelet count