The healthcare provider (HCP) prescribes 1 liter of 0.9% sodium chloride, USP IV to be infused over 12 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver?

(Enter numerical value only. If rounding is required, round to the nearest whole number.)

A. Advise the client that the healthcare provider (HCP) needs to be made aware of the current diet: Green leafy vegetables are high in vitamin K, which can interfere with the effectiveness of warfarin by promoting clotting. The healthcare provider must be informed to adjust the medication dose if necessary or provide specific dietary guidance.

B. Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans: Advising the client to eliminate green vegetables is not appropriate because sudden changes in vitamin K intake can destabilize warfarin therapy. Consistency in vitamin K consumption is key rather than abrupt dietary changes.

C. Confirm that the client's diet choices will help the medication be more effective in preventing blood clots: Regular consumption of vitamin K-rich foods without dose adjustment can decrease warfarin's anticoagulant effect, increasing the risk of clot formation. The current diet does not inherently support the intended action of the medication.

D. Commend the client for a healthy lifestyle and encourage the client to continue current diet habits: Although a diet rich in vegetables is generally healthy, with warfarin therapy, any vitamin K intake must be consistent and properly managed. Simply encouraging the client without notifying the provider could lead to therapeutic failure.

A. Compress the client's nares: Compressing the nares is a technique used for nasal medication administration or controlling nosebleeds, not for sublingual or oral spray forms of nitroglycerin. This action is unrelated to nitroglycerin use for angina.

B. Observe for facial flushing: Facial flushing is a common side effect of nitroglycerin due to vasodilation. While it should be noted during monitoring, it is not the immediate next action after administration when addressing angina symptoms.

C. Advise the client to rest: Resting after nitroglycerin administration reduces myocardial oxygen demand, helping to relieve anginal pain more effectively. It also helps prevent hypotension and dizziness, which are common side effects of the medication.

D. Elevate the client's feet: Elevating the feet is typically done if hypotension occurs. It is not a standard next step immediately after giving nitroglycerin unless the client shows symptoms like syncope or significant blood pressure drops.