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A nurse caring for a cut is who has a deep vein thrombosis and is prescribed heparin by continuous infusion at 1,200 U/hr. Ava A heparin 25,000 units in 500 mL DSW. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["24"]

To calculate the mL/hr for the heparin infusion, you can use the formula:

mL/hr = (Total units required per hour) / (Units/mL in the solution)

Given:

Total units required per hour = 1,200 U/hr

Units/mL in the solution = 25,000 U / 500 mL = 50 U/mL

Plugging in the values:

mL/hr = (1,200 U/hr) / (50 U/mL)

mL/hr = 24 mL/hr (rounded to the nearest tenth)

Therefore, the nurse should set the IV pump to deliver 24 mL/hr for the heparin infusion.

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Correct Answer is A

Explanation

Remaining with the client provides support and ensures their safety. The client's behavior indicates distress, and having a nurse nearby can help the client feel more comfortable and secure.

B. Give the client a PRN sleeping medication:

Explanation: Administering a sleeping medication should not be the first response, especially if the client is agitated. It's important to address the underlying cause of the agitation and consider other interventions before resorting to medication.

C. Encourage the client to go back to bed:

Explanation: Encouraging the client to go back to bed might not be effective if they are experiencing significant distress or anxiety. It's better to address their emotional state first before suggesting any changes in activity.

D. Explore alternatives to pacing the floor with the client:

Explanation: This is a reasonable course of action. Exploring alternatives to the client's current behavior can help address their distress and find ways to manage their emotions more effectively.

A. joining a group discussion about a local election B. Watching a video with a group in the day room C. Participating in a basketball game in the gym D. Walking with the nurse in the courtyard

Correct Answer is D

Explanation

A. Joining a group discussion about a local election: While group discussions can be productive, a person in the manic phase of bipolar disorder may have difficulty focusing and may become overly talkative or agitated. Engaging in a group discussion about a local election may exacerbate their symptoms and lead to increased energy and agitation.

B. Watching a video with a group in the day room: Watching a video in a group setting may not be suitable for a person in the manic phase, as they might find it hard to sit still and concentrate. The fast-paced and changing nature of videos may contribute to increased restlessness and agitation.

C. Participating in a basketball game in the gym: Engaging in physical activities like basketball can be too stimulating for someone in the manic phase. Their heightened energy levels may cause them to become overly competitive, agitated, or impulsive, potentially leading to risky behavior or increased symptoms.

D. Walking with the nurse in the courtyard: Taking a walk in a calm and soothing environment, such as a courtyard, can help a person in the manic phase expend excess energy in a controlled manner. Walking provides physical activity without overstimulating or overwhelming the individual, making it a more appropriate choice to address boredom while managing their symptoms.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the use to suggest to this client?

Correct Answer is D

Explanation

A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse's priority response?

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?

A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the clients understanding of the teaching?