A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Answer and Explanation

The Correct Answer is ["1440"]

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.

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Correct Answer is A

Explanation

A. Performing weight-bearing exercises, such as walking, jogging, or strength training, helps improve bone density and prevent osteoporosis-related fractures.
B. Caffeine can increase calcium excretion in the urine and may negatively affect bone health, so it is not recommended for clients at risk for osteoporosis.
C. Taking 400 IU of vitamin D per day may be insufficient for clients at risk for osteoporosis. Most guidelines recommend at least 800-1,000 IU of vitamin D daily.
D. Limiting calcium intake to 600 mg per dose is not recommended. Calcium should be taken in doses of 500-600 mg to improve absorption and bone health.

A. Erosion of the gastric mucosa on endoscopy B. Decreased serum amylase levels C. Presence of Helicobacter pylori antibodies in serum D. Hypersecretion of hydrochloric acid

Correct Answer is A

Explanation

A. Erosion of the gastric mucosa on endoscopy is the hallmark of acute gastritis. Chronic alcohol use can irritate and inflame the stomach lining, leading to mucosal erosion, which is commonly seen during endoscopy in patients with this condition.
B. Decreased serum amylase levels are not typically associated with acute gastritis. Amylase levels are more commonly elevated in cases of pancreatitis, not gastritis.
C. The presence of Helicobacter pylori antibodies in serum is more indicative of chronic gastritis or peptic ulcer disease rather than acute gastritis. H. pylori is a long-term cause of gastric inflammation.
D. Hypersecretion of hydrochloric acid is more commonly associated with conditions such as Zollinger- Ellison syndrome and is not a typical finding in acute gastritis caused by alcohol use.

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A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Nursing Test Bank

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Correct Answer is A

Explanation

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