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A charge nurse is teaching a newly licensed nurse about administering heparin to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A.

"I will check the client's INR before administering the heparin."

B.

"I will aspirate before administering the heparin."

C.

"I will massage the site after the injecting the heparin."

D.

"I will apply pressure for 1 minute after the injection."

Answer and Explanation

The Correct Answer is D

Choice A Reason:
. "I will check the client's INR before administering the heparin." Is incorrect. Checking the client's INR (International Normalized Ratio) is essential, but it's more applicable for monitoring anticoagulants like warfarin, not heparin. Heparin's effect is typically monitored via activated partial thromboplastin time (aPTT) or anti-Xa levels, not INR.
Choice B Reason:
 "I will aspirate before administering the heparin." Is incorrect. Aspirating before administering heparin injections is not necessary because the medication is given subcutaneously or intravenously and not into a blood vessel.
Choice C Reason:
 "I will massage the site after injecting the heparin." Is incorrect. Massaging the site after injecting heparin could increase the risk of bruising or hematoma formation at the injection site. It's generally advised to avoid massaging the area after a heparin injection to prevent tissue trauma.
Choice D Reason:
"I will apply pressure for 1 minute after the injection." Is correct. Applying pressure to the injection site for about a minute after administering heparin helps minimize the risk of bleeding or hematoma formation, especially with subcutaneous injections. This practice aids in reducing bleeding at the injection site.
 


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Related Questions

Correct Answer is B

Explanation

Choice A Reason:
Tinnitus, a perception of noise or ringing in the ears, is not typically associated with paroxetine use.
Choice B Reason:
Drowsiness or somnolence is a common adverse effect associated with paroxetine and many other selective serotonin reuptake inhibitors (SSRIs). It's crucial for clients to be aware of this potential side effect, especially when starting the medication or adjusting the dosage. It might affect their ability to perform tasks requiring alertness, such as driving or operating machinery.
Choice C Reason:
Peripheral edema, or swelling in the extremities, is not a common adverse effect linked specifically to paroxetine use.
Choice D Reason:
Alopecia is correct. Alopecia, or hair loss, is not a commonly reported adverse effect of paroxetine.

Correct Answer is ["60"]

Explanation

Step 1: Determine the Lidocaine Concentration

  • The solution contains 2 grams (2000 mg) of lidocaine in 500 mL.
  • To find the amount of lidocaine per mL:
    2000 mg ÷ 500 mL = 4 mg/mL

Step 2: Calculate the Total Dose per Hour

  • The prescribed infusion rate is 4 mg per minute.
  • In 1 hour (60 minutes), the total dose is:
    4 mg/min × 60 min = 240 mg/hr

Step 3: Determine the Infusion Rate in mL/hr

  • Since each mL contains 4 mg of lidocaine:
    240 mg ÷ 4 mg/mL = 60 mL/hr

The nurse should set the IV pump to 60 mL/hr for the continuous IV infusion of lidocaine at a rate of 4 mg/min.

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