The healthcare provider prescribes heparin 18 units/kg/hr IV for a client who weighs 154 Ibs to prevent deep vein thrombosis (DVT). The premixed IV solution is labeled "Heparin Sodium 20,000 Units in Dextrose 5% in Water (D5W) 500 mL". The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

A client with a C-7 spinal cord injury (SCI) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

A client arrives to the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

While caring for a client with a cervical spine injury, which assessment finding should the nurse report to the healthcare provider immediately?

A client admitted to the telemetry unit with a diagnosis of syncopal episodes has a sitting blood pressure of 80/50 mm Hg, a regular apical pulse, and a cardiac rhythm as shown on the monitor. The nurse should prepare the client for which procedure?

A client with left ventricular failure complains of a hacking cough that worsens at night and further complains that shortness of breath sometimes occurs upon wakening. Which intervention should the nurse include in the bedtime preparation?

A young man playing football in the park sustains a hard hit and is lying motionless on the ground, while his friends are trying to help him. Which action by his friends warrants immediate intervention by the nurse who was watching from the sidelines?

Patient Data

A client is admitted to the intensive care unit (ICU) after surgical repair of an aortic abdominal aneurysm (AAA). Sodium nitroprusside is infusing for severe postoperative hypertension. Normal saline is also infusing at 50 mL/hr. When the client suddenly reports back pain, the nurse measures the client's vital signs to be a heart rate of 38 beats/minute and a blood pressure of 80/60 mm Hg. Which intervention should the nurse implement first?

The healthcare provider prescribes heparin 18 units/kg/hr IV for a client who weighs 154 Ibs to prevent deep vein thrombosis (DVT). The premixed IV solution is labeled "Heparin Sodium 20,000 Units in Dextrose 5% in Water (D5W) 500 mL". The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

After six days on a mechanical ventilator, a client is extubated and placed on 40% oxygen via face mask. The client is awake and cooperative, but reports having a severe sore throat. While sipping water to swallow a medication, the client begins coughing, as if airway is restricted. Which intervention is most important for the nurse to implement?