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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).
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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Related Questions

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B","dropdown-group-3":"A"}

Explanation

  • The initial blood gas results show a pH of 7.21, which is below the normal range, indicating acidosis.
  • The PaCO2 is elevated at 58 mmHg, suggesting that the acidosis is respiratory in nature, as CO2 is a respiratory acid.
  • The HCO3 level is within the normal range, which typically would not suggest a primary metabolic problem.
  • The repeat blood gas shows an improvement in pH to 7.37, which is within the normal range, indicating that the condition is being compensated.
  • The PaCO2 has decreased to 52 mmHg, which is still above normal but shows improvement, further supporting the compensation.
  • Given these changes, the most likely interpretation of the blood gas results is that the client has "compensated respiratory acidosis."

Correct Answer is E, A, C, B, D

Explanation

E. Talk to the physician as a group in a non-confrontational manner.

This is the first and most direct approach to address any interpersonal or professional issues. It allows for open communication and the possibility to resolve the issue without escalating it further.

A. Document concerns and report them to the charge nurse.

If the initial conversation does not lead to a change in behavior, documentation provides a record of the incidents and concerns, which is essential for any further action.

C. Submit a written report to the Director of Nursing.

Reporting the issue to higher management is a step up from reporting to the charge nurse. It brings the concern to the level of administration that can take more significant actions.

B. Contact the hospital's Chief of Medical Services.

If the issue persists despite the steps taken, involving the Chief of Medical Services is appropriate as they have the authority over medical staff and can address the physician's behavior from a position of leadership.

D. File a formal complaint with the state medical board.

This is the last resort when all other internal avenues have been exhausted. It involves external authorities that can impose sanctions or take other actions to ensure professional standards are maintained.

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