A Nurse is preparing to start a heparin drip on a client with acute coronary syndrome. Ordered: Give Heparin 1000 units per hour, standard dilution of 25,000 units in 250 mL of normal saline. What is the correct drip setting for the pump in mL/hr?

Answer and Explanation

The Correct Answer is ["10"]

Determine the heparin concentration:
- You have 25,000 units of heparin in 250 mL of normal saline.
- Concentration = 25,000 units / 250 mL = 100 units/mL
Calculate the mL/hr rate:
- The order is for 1,000 units/hour.
- Drip rate (mL/hr) = 1,000 units/hour / 100 units/mL = 10 mL/hour

Answer = 10mL/hr

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Correct Answer is A

Explanation

A. Stage 1 hypertension is classified as a systolic BP of 130-139 mm Hg or diastolic BP of 80-89 mm Hg. While the readings provided are close, the higher diastolic value of 88 mm Hg falls into the Stage 1 hypertension category.
B. The term prehypertension is outdated and replaced by elevated BP, which refers to systolic 120-129 mm Hg and diastolic <80 mm Hg. The client’s diastolic values are too high for this category.
C. A normal BP is <120/80 mm Hg, and the client’s readings exceed this range.
D. Stage 2 hypertension is ≥140/90 mm Hg, which does not apply to this client.

A. Ask the client if any other foods cause such a reaction. B. Notify the provider of the client's allergy. C. Notify the dietary department of the client's allergy. D. Attach a wrist band indicating the client's allergy.

Correct Answer is B

Explanation

A. While gathering more information about other allergies is useful, it is not the priority action.
B. The priority is to notify the provider because a shellfish allergy may indicate sensitivity to iodine-based contrast dye, which is used in cardiac catheterization. The provider may need to order premedication or an alternative contrast agent.
C. While notifying the dietary department is necessary for food allergies, it does not address the immediate concern of potential contrast dye reaction.
D. Attaching a wristband is important but should be done after the provider is notified and appropriate precautions are in place.

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A Nurse is preparing to start a heparin drip on a client with acute coronary syndrome. Ordered: Give Heparin 1000 units per hour, standard dilution of 25,000 units in 250 mL of normal saline. What is the correct drip setting for the pump in mL/hr?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that their blood pressure readings of 124/84 mm Hg and 128/88 mm Hg place them in which of the following categories?

Correct Answer is A

Explanation

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

Correct Answer is B

Explanation

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