The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

Answer and Explanation

The Correct Answer is ["2500"]

500MLS of the solution= 25,000units 50mls = 5025000/500

=2500units

Therefore, the client receives 2500 units per hour.

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Correct Answer is B

Explanation

A. Connect the nasogastric tube to suction as prescribed: "Coffee ground" drainage can indicate the presence of blood in the stomach, which requires further assessment before initiating suction.
B. Clamp the nasogastric tube and contact the healthcare provider: Clamping the tube helps
prevent further aspiration of gastric contents, and contacting the healthcare provider is necessary for further evaluation and instructions.
C. Immediately remove and then reinsert the nasogastric tube: While removing and reinserting the tube may be necessary, contacting the healthcare provider for guidance is the priority.
D. Connect the nasogastric tube to high continuous suction: Initiating suction without further evaluation can exacerbate bleeding and is not appropriate without guidance from the healthcare provider.

A. Magnesium level. B. Size of the IV catheter. C. Urinary output of 30 to 60 mL/hr. D. Serum glucose level. E. None F. None

Correct Answer is C

Explanation

- A) Magnesium level: While magnesium levels can affect cardiac and neuromuscular function, they are not the most critical assessment before potassium infusion. Hypomagnesemia may accompany hypokalemia, but the priority is ensuring renal function to avoid hyperkalemia.
- B) Size of the IV catheter: The size of the IV catheter is important for determining the flow rate of the infusion, but it is not the most critical assessment. The catheter size does not directly impact the safety of potassium administration.
- C)

Potassium chloride administration can cause hyperkalemia if the kidneys are not excreting potassium effectively. Ensuring adequate urinary output before infusion indicates the kidneys are functioning sufficiently to handle the potassium load, making this the most critical assessment.

- D) Serum glucose level:

Although glucose levels are monitored closely in DKA, they are not the primary concern before administering potassium chloride. The priority here is ensuring the kidneys can excrete potassium effectively, as hyperkalemia can be life-threatening.

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The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

Correct Answer is B

Explanation

A client with type 1 diabetes mellitus (DM) is admitted in diabetic ketoacidosis. Treatment is initiated, and the nurse is preparing to administer IV fluids containing potassium chloride. Which assessment data is most important for the nurse to obtain before starting the infusion?

Correct Answer is C

Explanation

The nurse is caring for a client with a binge eating disorder. Which goal should the nurse first establish with the client?

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A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

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