The nurse is caring for a client who has disseminated intravascular coagulation (DIC). The healthcare provider prescribes an infusion of heparin. Based on the protocol, the initial dose is 14 units/kg/hr. The heparin is dispensed at a concentration of 25,000 units/250 ml. The client weighs 79.1 kg. How many mL/hr will the nurse set the Infusion pump? (Round the rate to nearest tenth. Only enter numbers and decimals. Do not enter any letters in your answer.)
The Correct Answer is ["11.074"]
To calculate the infusion rate, we'll use the following formula:
Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of heparin (units/mL)
First, calculate the desired dose in units/hr:
- 14 units/kg/hr x 79.1 kg = 1107.4 units/hr
Next, calculate the concentration of heparin in the IV bag:
- 25,000 units / 250 mL = 100 units/mL
Finally, plug the values into the formula:
- Infusion rate = 1107.4 units/hr / 100 units/mL = 11.074 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Weight loss can help improve symptoms of polycystic ovarian syndrome (PCOS) by reducing insulin resistance and androgen levels, which are common issues in PCOS.
A. Thyroid function testing is not specifically related to PCOS management, though thyroid function should be monitored if there are symptoms of thyroid dysfunction.
B. A diet with a low glycemic index is generally recommended for managing PCOS, not a high glycemic index.
C. PCOS is associated with decreased fertility rather than increased fertility. Contraception might be recommended for menstrual regulation, but not necessarily two forms due to increased fertility.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
Sodium level: The client's sodium level is significantly elevated (157 mEq/L), indicating hyponatremia. This is a critical finding that needs to be addressed promptly to prevent serious complications such as seizures and coma.
Heart rate: While the heart rate is slightly elevated, it is not as urgent a concern as the sodium level. Once the sodium level is stabilized, the nurse can address the heart rate if it remains elevated.
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