A nurse is preparing to administer heparin 15,000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10,000 units/mL. How many mL should the nurse administer with each dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.5"]
The correct answer is 1.5 mL. Here is the explanation:
To calculate the amount of mL to administer, the nurse should use the following formula:
mL = (units ordered / units available) x mL available
Plugging in the values from the question, we get:
mL = (15,000 / 10,000) x 1
mL = 1.5 x 1
mL = 1.5
Therefore, the nurse should administer 1.5 mL of heparin with each dose.
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Naxlex Comprehensive Predictor Exams
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Explanation
Choice A: This is correct. Phototherapy is a treatment option for psoriasis that involves exposing the skin to ultraviolet light, which can reduce inflammation and slow down the growth of skin cells.
Choice B: This is incorrect. Oil-based ointment is not recommended for psoriasis, as it can clog the pores and worsen the condition.
Choice C: This is incorrect. Dermabrasion is a cosmetic procedure that involves removing the outer layer of skin with a rotating device, which can cause bleeding, infection, and scarring.
Choice D: This is incorrect. Benzoyl peroxide is an acne medication that can dry out and irritate the skin, which can aggravate psoriasis.
Correct Answer is C
Explanation
Choice A reason: Applying moist heat to the incision while in bed is not an appropriate instruction, as it can increase the risk of infection, bleeding, or swelling at the site. The nurse should instruct the client to keep the incision dry and covered with a sterile dressing.
Choice B reason: Performing range of motion by adducting the hip is not an appropriate instruction, as it can cause dislocation or damage to the prosthesis. The nurse should instruct the client to avoid crossing their legs or turning their toes inward and to use an abduction pillow or wedge between their legs.
Choice C reason: Sitting in a straight-backed chair is an appropriate instruction, as it can prevent flexion contractures and promote circulation and healing in the hip joint. The nurse should instruct the client to use a raised toilet seat and a chair with armrests and avoid sitting for longer than 45 min at a time.
Choice D reason: Cleansing the surgical incision with hydrogen peroxide is not an appropriate instruction, as it can irritate or damage the tissue and delay wound healing. The nurse should instruct the client to use mild soap and water or saline solution to clean the incision and pat it dry gently.
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