A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["24"]
- First, determine the concentration of the heparin solution. In this case, it's 25,000 units in 500 mL, which means there are 50 units per mL.
- Next, calculate the required rate to deliver 1,200 units per hour. Since the concentration is 50 units per mL, divide 1,200 units by 50 units/mL to find the required mL per hour.
- The calculation will be 1,200 units/hr ÷ 50 units/mL = 24 mL/hr.
- Since the question asks to round to the nearest tenth or whole number, and the result is a whole number, the IV pump should be set to deliver 24.0 mL/hr.
Answer =24
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Correct Answer is {"dropdown-group-1":"A"}
Explanation
Encephalopathy is correct.
Rational: The client is experiencing alterations in their level of consciousness and has an elevated ammonia level. Encephalopathy is indicative of liver failure due to cirrhosis.
Finding
Ammonia level is correct.
Rational: The client is experiencing encephalopathy which can be a result of an elevated ammonia level. An elevated ammonia level is indicative of liver failure due to cirrhosis.
Correct Answer is D
Explanation
A. Nasal congestion is not a primary sign of autonomic dysreflexia, though it can be a symptom of other conditions.
B. A severe headache can be a symptom of autonomic dysreflexia but is not the sole indicator of the condition.
C. Elevated blood pressure can be a result of autonomic dysreflexia but is not necessarily an indication of risk without other symptoms.
D. A distended bladder is a common trigger for autonomic dysreflexia in clients with a spinal cord injury at or above T-6, making it a key indicator for monitoring.
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