Ordered: heparin infusion 1000 units per hour Available: heparin 20,000 units in 1000 mL 0.9 NaCl solution Agency policy requires that heparin be administered with an infusion pump. IV flow rate the nurse should set on infusion pump:

a. DA equation:
b. Evaluation:
c. Which antidote is used for heparin overdose: vitamin K or protamine sulfate?
d. What are the general SDR guidelines, in units per 24 hours, for IV heparin?


a.
b. Equation is balanced. Only mL per hour remains.
c. Protamine sulfate
d. 1000 units per hr; 20,000 to 40,000 units per 24 hrs. Exceptions are made based on patient need.

Nursing

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The family of an older client in a nursing home feels that the client has not been treated fairly and that the client's rights have been violated. Which of the following would be the best action for the family to take?

1. Remove the client from the facility. 2. Call the local ombudsman and report the information. 3. Hire a lawyer to obtain information about the client's care. 4. Request a copy of the client's medical record and determine if appropriate care has been given.

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When teaching a client about self-catheterization, you discuss her feelings and perceptions about performing this procedure. Which domain are you focusing on?

1. affective 2. cognitive 3. psychomotor 4. psychosocial

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While assessing the feet of a 72-year-old male patient with diabetes, the nurse noted that there were no cuts, cracks, or blisters

The patient stated, "I don't have as much feeling in my feet as I used to." The nurse correctly understands that the patient is most likely suffering from 1. Paresthesia. 2. Infection. 3. Lentigines. 4. Necrosis.

Nursing

A student nurse would properly contact and advise the supervisory staff nurse if

1. A patient demands to be moved to a different room but will not say why. 2. A physically larger patient for whom the student nurse is providing ambulation therapy has trouble getting back into bed and the student is unable to get him into bed herself. 3. A patient seems to be trying to communicate something urgent but cannot do so because of a language barrier. 4. A patient's condition seems worse than at the staff nurse's last assessment.

Nursing