The healthcare provider prescribes heparin 3 units/kg IV push for a client who weighs 175 pounds. The vial is labeled, "100 units/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).
The Correct Answer is ["2.4"]
Convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
Calculate the total number of units of heparin needed by multiplying the client's weight in kilograms by the prescribed dosage (3 units/kg).
Determine the volume of heparin to administer by dividing the total number of units needed by the concentration of the vial (100 units/mL).
The calculation:
Client's weight in kg: 175 pounds / 2.2 = 79.55 kg (rounded to the nearest tenth)
Total units of heparin needed: 79.55 kg 3 units/kg = 238.65 units
Volume of heparin to administer: 238.65 units / 100 units/mL = 2.39 mL
Therefore, the nurse should administer 2.4 mL of heparin. (rounded to the nearest tenth)
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Related Questions
Correct Answer is A
Explanation
A. Attempting to distract the client with general conversation can help redirect the client's focus away from the discomfort and anxiety associated with the procedure. It can help alleviate anxiety and make the experience more tolerable for the client.
B. Explaining the procedure in detail while removing the staples may increase the client's anxiety and discomfort. While education about the procedure is important, it may not be the most
effective intervention in this situation.
C. Encouraging the client to continue to verbalize the anxiety acknowledges the client's feelings but may not effectively address the anxiety or alleviate discomfort during the procedure.
D. Reassuring the client that this is a simple nursing procedure may not be sufficient to alleviate the client's anxiety. The client's perception of the procedure as distressing is valid, and additional measures may be needed to help manage the anxiety and discomfort.
Correct Answer is B
Explanation
A. Monitoring for changes in stool color is important because itraconazole can rarely cause liver toxicity, which may manifest as changes in stool color (e.g., clay-colored stools). This statement demonstrates the client's understanding of the need for monitoring for potential adverse effects.
B. Taking itraconazole with antacids is incorrect because antacids can reduce the absorption of itraconazole. This statement requires correction by the nurse as it could potentially decrease the effectiveness of the medication.
C. Drinking grapefruit juice can increase the effects of itraconazole by inhibiting its metabolism, leading to higher blood levels of the medication. Therefore, this statement is incorrect and requires correction.
D. Reporting any difficulty with breathing is important as itraconazole can rarely cause severe allergic reactions or respiratory side effects. This statement demonstrates the client's
understanding of the need to report any concerning symptoms.
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