The healthcare provider prescribes heparin 3 units/kg IV push for a client who weighs 175 pounds. The vial is labeled, "100 units/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).

Answer and Explanation

The Correct Answer is ["2.4"]

Convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.

Calculate the total number of units of heparin needed by multiplying the client's weight in kilograms by the prescribed dosage (3 units/kg).

Determine the volume of heparin to administer by dividing the total number of units needed by the concentration of the vial (100 units/mL).

The calculation:

Client's weight in kg: 175 pounds / 2.2 = 79.55 kg (rounded to the nearest tenth)

Total units of heparin needed: 79.55 kg 3 units/kg = 238.65 units

Volume of heparin to administer: 238.65 units / 100 units/mL = 2.39 mL

Therefore, the nurse should administer 2.4 mL of heparin. (rounded to the nearest tenth)

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Holding hands below elbows when rinsing is a correct technique to prevent contamination of washed hands.
B. Lathering using a circular movement is a correct technique for thorough handwashing.
C. Washing for a total of 20 seconds is in line with the recommended duration for effective handwashing.
D. Turning the water off using bare hands can potentially recontaminate the hands. Instead, a paper towel or elbow should be used to turn off the faucet after washing hands to prevent recontamination. Therefore, this action by the UAP requires additional teaching.

A. Ask the client how often episodes of sundowning are experienced. B. Encourage the client to lie as still as possible during the assessment. C. Question the client about the frequency of falls in recent months. D. Assist the client with values clarification about end-of-life care options.

Correct Answer is C

Explanation

A. Asking the client how often episodes of sundowning are experienced is not relevant to a
functional assessment. Sundowning refers to increased confusion and agitation that typically occurs in the late afternoon or evening and is often associated with dementia.
B. Encouraging the client to lie as still as possible during the assessment may not provide accurate information about the client's functional status. It's important for the client to engage in activities that reflect their typical level of functioning.
C. Questioning the client about the frequency of falls in recent months is an essential component of a functional assessment, especially for an older adult being admitted to a rehabilitation facility.
Understanding the history of falls helps identify potential risk factors and informs the development of an appropriate care plan.
D. Assisting the client with values clarification about end-of-life care options is important but not typically part of a functional assessment focused on evaluating the client's physical and cognitive abilities.

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The healthcare provider prescribes heparin 3 units/kg IV push for a client who weighs 175 pounds. The vial is labeled, "100 units/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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