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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Correct Answer is C

Explanation

A. While fever after vaccination should be monitored, not all fevers after vaccination are serious.
Low-grade fevers are common and may not require immediate reporting unless they are persistent or accompanied by other concerning symptoms.
B. Children's aspirin should not be given to prevent inflammation after vaccination due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be recommended for fever or discomfort after vaccination, but not aspirin.
C. Applying a cool pack to the injection site can help reduce discomfort and swelling, which are common reactions to vaccines. This is an appropriate instruction for caring for the injection site after receiving the Hib vaccine.
D. Keeping the child home from daycare for the next two days is not necessary unless the child experiences unusual symptoms or reactions to the vaccine. Most children can resume normal activities after vaccination.

A. Potential changes in employee benefits. B. Changes in job descriptions. C. Employees' job security. D. New management's expectations.

Correct Answer is C

Explanation

A. Potential changes in employee benefits are important to address, but job security is a more immediate concern for employees facing agency restructuring.
B. Changes in job descriptions may occur as part of agency restructuring, but job security is typically a more pressing concern for employees.
C. Employees' job security is the most important concern to address during agency restructuring.
Employees may feel anxious about the possibility of layoffs or job loss, so providing reassurance and clear communication about job security is essential for maintaining morale and reducing
stress.
D. New management's expectations may be relevant, but they are secondary to employees' concerns about their job security during agency restructuring. Once job security is assured, addressing new management's expectations can be addressed.

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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).

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Correct Answer is C

Explanation

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