Order: Eptifibatide (Integrilin)180 mcg/kg IV stat. The manufacturer recommends adding 0.7 mL of sterile water for injection to each 0.75 mg vial, yielding 0.75 mg/mL. The client weighs 185 pounds. How many milliliters will you administer?

The nurse is reinforcing teaching for a patient with chronic liver failure. Which of the following instructions should be given to help prevent injury?

a. "Brush your teeth with a soft-bristled brush." b. "Drink plenty of clear fluids." c. "Take an aspirin a day to prevent heart complications." d. "Be sure to get 20 minutes of exercise daily."

A patient is prescribed acyclovir (Zovirax) for the treatment of genital herpes. What is the expected outcome of this medication?

A) Decreased testosterone production B) Decreased libido C) Decreased viral shedding D) Decreased bacterial replication

A pregnant client's hemoglobin value is 11 grams/dL in the second trimester. Which factor best explains this finding?

A) Presence of iron-deficiency anemia C) Pregnancy involving multiple gestation B) Greater-than-expected weight gain D) Hemodilution of pregnancy

A patient who is a Jehovah's Witness refuses life-saving blood or blood products and will probably die without them. What nursing intervention is the best?

a. Try to argue with the patient about his beliefs. b. Separate the patient from family, visitors, or religious leaders who support the patient's beliefs. c. Lecture the patient about the fact that these beliefs may be harmful to self and may result in death. d. Show respect for the patient's right to his own belief system. Notify the nursing supervisor and possibly obtain an ethics committee consultation.