A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis.

Available is heparin 10,000 units/mL.

How many mL of heparin should the nurse administer? (Round the answer to the nearest) tenth.

Use a leading zero if it applies.

Do not use a trailing zero.) mL.

Answer and Explanation

The Correct Answer is ["0.4"]

To calculate the amount of heparin to administer, use the formula:

mL of heparin=units available units ordered×1mL available

Substituting the values given in the question, we get:

mL of heparin=100004000×11=0.4

Therefore, the nurse should administer 0.4 mL of heparin.

Normal ranges for heparin therapy vary depending on the condition being treated and the laboratory method used to measure APTT.

A general range is 60 to 80 seconds or 1.5 to 2.5 times the control value.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Pruritus is a common adverse effect of morphine administered via continuous epidural infusion. It is caused by the release of histamine from mast cells in the skin. Pruritus can be treated with antihistamines or opioid antagonists. Choice A is wrong because gastric bleeding is not a common adverse effect of morphine administered via continuous epidural infusion.

Gastric bleeding can occur due to peptic ulcer disease, nonsteroidal anti inflammatory drugs (NSAIDs), or anticoagulants.

Choice C is wrong because cough is not a common adverse effect of morphine administered via continuous epidural infusion.

Cough can be caused by respiratory infections, asthma, or chronic obstructive pulmonary disease (COPD).

Choice D is wrong because tachypnea is not a common adverse effect of morphine administered via continuous epidural infusion.

Tachypnea can be caused by hypoxia, anxiety, pain, or fever. Morphine can cause respiratory depression, which is characterized by bradypnea, not tachypnea.

A. I should stay upright for at least 15 minutes after taking this medication. B. I should take an antacid with this medication to prevent stomach upset. C. I should take this medication with 8 ounces of milk. D. I should notify my provider if my stools turn black.

Correct Answer is A

Explanation

The client should stay upright for at least 15 minutes after taking ferrous gluconate to prevent oesophagal irritation. Choice B is wrong because taking an antacid with ferrous gluconate can decrease its absorption and effectiveness.

Choice C is wrong because taking ferrous gluconate with milk can also reduce its absorption and cause gastrointestinal distress.

Choice D is wrong because black stools are a common and harmless side effect of ferrous gluconate and do not indicate a need to notify the provider. Ferrous gluconate is an iron supplement used to treat or prevent iron deficiency anaemia, a condition where the body does not have enough red blood cells to carry oxygen to the tissues.

Iron is an essential component of haemoglobin, the protein that carries oxygen in the blood.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?

A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?