A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)
- First, convert the client's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kg.
- Next, calculate the total daily dosage in milligrams: 1.5 mg/kg/day × 80 kg = 120 mg/day.
- Since the medication is available in a concentration of 120 mg/0.8 mL, the client requires a full syringe of 0.8 mL for their daily dosage.
 56. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. The nurse should perform which intervention in the immediate management of the client?

An adult client comes to the clinic and reports concern over a lump that, "Just popped up on my neck about a week ago." While performing an examination of the lump, the nurse palpates a large, nontender, hardened left subclavian lymph node. There is no overlying tissue inflammation. Which do these findings suggest?

A client with a right hemopneumothorax has a chest tube connected to suction. While turning to the left side, the client becomes suddenly short of breath and anxious. Which intervention should the nurse implement?

Case 2/6

The nurse suspects elder mistreatment.

Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

 A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)
- First, convert the client's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kg.
- Next, calculate the total daily dosage in milligrams: 1.5 mg/kg/day × 80 kg = 120 mg/day.
- Since the medication is available in a concentration of 120 mg/0.8 mL, the client requires a full syringe of 0.8 mL for their daily dosage.
 56. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. The nurse should perform which intervention in the immediate management of the client?

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the nurse to include in the assessment of this client?

After receiving a change of shift report for clients on a medical-surgical unit, which task should the nurse assign to the practical nurse (PN)?

While the nurse is conducting an admission assessment of a female client with bipolar disorder, the client suddenly begins to take off her clothes and throw them about the room. Which action should the nurse take first?

The nurse suspects elder mistreatment.
Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Dopamine hydrochloride IV at 2 mcg/kg/minute is prescribed to promote renal perfusion for a client weighing 198 lbs. The pharmacy sends a pre-mixed bag of dopamine containing 400 mg in 250 mL dextrose 5% in water (DW). An IV pump is available that provides a precision infusion rate to a tenth of a mL. The nurse should set the IV pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
 

A client experiencing withdrawal from the benzodiazepine alprazolam is demonstrating severe agitation and tremors. Which is the best initial nursing action?