The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

Answer and Explanation

The Correct Answer is ["2500"]

500MLS of the solution= 25,000units 50mls = 5025000/500

=2500units

Therefore, the client receives 2500 units per hour.

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Correct Answer is C

Explanation

A:While a voiding diary can be useful for monitoring urinary symptoms, the client’s description of urinary retention symptoms requires immediate assessment for bladder distention or obstruction, not just recording voiding patterns.

B: Obtaining a urine specimen is important if a urinary tract infection is suspected, but the symptoms described are more indicative of urinary retention, possibly due to prostate issues, which requires immediate physical assessment.
C:The client’s symptoms suggest urinary retention, which can be detected by palpating the suprapubic area for bladder distention. This is the most immediate assessment to determine if the client has retained urine in the bladder.

D: Cleansing the glans penis is important for hygiene and may prevent infections, but it does not address the underlying issue of bladder fullness and urinary retention.

A. Attempt to distract the client with general conversation. B. Explain the procedure in detail while removing the staples. C. Encourage the client to continue to verbalize the anxiety. D. Reassure the client that this is a simple nursing procedure.

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.

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The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult male client arrives at the clinic reporting that his bladder always feels full. The client also reports a weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating the urine stream. Which action should the nurse implement?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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