A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Answer and Explanation

The Correct Answer is ["1440"]

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.

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Correct Answer is D

Explanation

A. Flushing the NG tube with 60 mL of water before feeding is not sufficient to reduce aspiration risk.
B. Administering the feeding with the patient lying flat increases the risk of aspiration and should be avoided.
C. Increasing the feeding rate could cause discomfort and increase the risk of aspiration if the stomach becomes overdistended.
D. Positioning the patient in a semi-Fowler's position (head of the bed elevated 30 to 45 degrees) reduces the risk of aspiration during and after feeding.

A. "A glass of wine per day might help with reducing your stress and improve your GERD." B. "It is important for you to practice good oral hygiene with this disorder." C. "You can lay down 30 minutes after eating if that will help you feel better." D. "Adding more citrus foods in your diet might help with easing the manifestations."

Correct Answer is B

Explanation

A. A glass of wine per day can worsen GERD symptoms, as alcohol can relax the lower esophageal sphincter and increase reflux.
B. Practicing good oral hygiene is essential in preventing dental erosion and other complications associated with GERD, as stomach acid can damage teeth and gums.
C. Laying down after eating increases the risk of acid reflux, which can worsen GERD symptoms.
D. Citrus foods are acidic and can trigger GERD symptoms, so increasing their intake is not recommended.

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A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient receiving enteral nutrition through a nasogastric (NG) tube. Which of the following actions should the nurse take to reduce the risk of aspiration?

Correct Answer is D

Explanation

A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

Correct Answer is B

Explanation

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