The healthcare provider has prescribed heparin, 3 units/kg to be administered via IV push for a client who weighs 175 pounds. The vial is labeled as "100 units/mL." How many mL should the nurse administer? (Please enter the numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["2.4"]
Step 1: Convert the weight from pounds to kilograms. We know that 1 kg = 2.2 lbs. So, the weight in kg is:
175 lbs ÷ 2.2 = 79.55 kg
Step 2: Calculate the total units of heparin needed. The prescription is for 3 units/kg, so:
3 units/kg × 79.55 kg = 238.65 units
Step 3: Calculate the volume of heparin to administer. The vial is labeled as "100 units/mL", so:
238.65 units ÷ 100 units/mL = 2.39 mL
So, the nurse should administer approximately 2.4 mL of heparin (rounded to the nearest tenth).
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Correct Answer is B
Explanation
Choice A reason: While nutrition is important, a high-protein diet is not specific to the management of heart failure.
Choice B reason: Weighing every morning allows for monitoring of fluid retention, which is a key aspect of managing heart failure.
Choice C reason: Range of motion exercises are good for overall health but are not specific to heart failure management.
Choice D reason: Limiting fluid intake is important, but it is more critical to monitor weight daily to detect fluid retention early.
Correct Answer is B
Explanation
Choice A reason: Telling the charge nurse and refusing to administer the placebo could be seen as insubordination and does not address the ethical concerns associated with placebo use.
Choice B reason: Discussing ethical concerns with the healthcare provider is the most appropriate action as it addresses the potential breach of patient trust and informed consent associated with placebo use.
Choice C reason: Administering the placebo as prescribed without addressing the ethical implications could compromise the nurse's professional integrity and the patient's trust.
Choice D reason: Informing the client that a placebo was prescribed could undermine the treatment plan and the provider-patient relationship, potentially causing harm to the client.
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