A nurse is providing care for a patient who has deep vein thrombosis.

The patient is prescribed heparin, which is to be administered via continuous IV infusion at a rate of 1,200 units/hr. If the available heparin is 25,000 units in 500 mL DSW, how many mL/hr should the IV pump be set to deliver?

(Round your answer to the nearest tenth or whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A rationale

The nurse should plan to refrigerate the urine during the collection time period. This is because the urine needs to be kept cool to prevent the breakdown of certain analytes that might be measured in the urine.

Choice B rationale

The nurse should not discard the client’s last void at the end of the collection time period. The last voided specimen should be included in the collection to ensure that the 24-hour collection is complete.

Choice C rationale

The nurse should not include toilet paper with the collected urine. Toilet paper could contaminate the urine sample and interfere with the accuracy of the test results.

Choice D rationale

The nurse should not save the first void at the start of the collection time period. The first voided specimen should be discarded, and the collection should start with the next void.

Choice A rationale

A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.

Choice B rationale

A rosebud-like stoma orifice is a normal finding and does not need to be reported18.

Choice C rationale

A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.

Choice D rationale

A shiny, moist stoma is a normal finding and does not need to be reported18.