The nursing student gathered the following assessment data f…
The nursing student gathered the following assessment data for a patient: Last bowel movement was 9/8/24, stools were hard and dry, patient strained to have a bowel movement, typically has a bowel movement every 3 days. This data set is an example of which of the following?
Read DetailsMr. Jones has been bedbound for the past month due to the ef…
Mr. Jones has been bedbound for the past month due to the effects of a stroke (CVA). He can turn himself in bed but needs assistance with toileting. He has frequent pain since his stroke that is difficult to keep under control. He has several problems listed in his chart. Which of the following nursing diagnoses/problems should the nurse revise?
Read DetailsPhysician orders the patient to be started on Heparin infusi…
Physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient weighs 175 lbs. What is the actual weight in kg? Round to the nearest hundredth.______kg Weight-Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr 6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr 6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr 6 hours after a decrease PTT 91-120 Hold infusion 1 hr Decrease by 3 units/kg/hr 6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr 6 hours after a decrease 12. How many units will be in the initial Heparin infusion? Round answer to the nearest whole number. __________ units/hr
Read DetailsThe physician orders the patient to be started on Heparin in…
The physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient weighs 176 lbs. Weight Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr 6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr 6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr 6 hours after a decrease PTT 90-120 Hold infusion 1 hr Decrease by 3 units/kg/hr 6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr 6 hours after a decrease Using the question above, at what rate will you set the infusion pump? Record your answer to the nearest whole number. _____ ml/hr
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As the respiratory therapist is reviewing the order written by a physician to give a bronchodilator treatment, what must be present in the physician’s order prior to giving the treatment?I. FrequencyII. Date/timeIII. Mode of therapyIV. Medical record number
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