The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)
The Correct Answer is ["1636.4"]
- Convert pounds to kilograms:
- Weight in kilograms = 90 pounds / 2.2 pounds/kg = 40.9090... kg. For practical purposes, we can round to 40.91kg.
- Calculate the heparin dose:
- The ordered bolus dose is 40 units/kg.
- Heparin dose = 40.91 kg 40 units/kg = 1636.4 units.
- Round to the nearest tenth:
- The heparin dose is 1636.4 units.
= 1636.4 units
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. A high-calorie, high-protein diet is recommended to prevent weight loss, but this is not the best answer related to breathing strategies.
B. Pursed-lip breathing helps control shortness of breath by slowing exhalation, preventing airway collapse, and improving oxygenation.
C. Abdominal breathing is helpful, but lying on the stomach is not an appropriate technique for emphysema management.
D. Clients with emphysema should get a flu shot annually to prevent respiratory infections.
Correct Answer is A
Explanation
A. Pleural effusion is a common complication of heart failure. Increased pressure in the pulmonary circulation can cause fluid to accumulate in the pleural space, leading to dyspnea and decreased lung expansion.
B. Infection is not a direct complication of heart failure. However, individuals with heart failure may have an increased risk of infections due to a weakened immune system.
C. Asthma is not a complication of heart failure. While both conditions can cause shortness of breath, asthma is a separate respiratory disorder.
D. Hemorrhage is not associated with heart failure. Instead, heart failure can lead to clotting abnormalities or increased bleeding risk if the client is on anticoagulants.
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