A nurse is preparing to administer IV alteplase (tPA) to a c…
A nurse is preparing to administer IV alteplase (tPA) to a client experiencing an acute ischemic stroke. The client weighs 154 lb. The prescribed total dose of alteplase is 0.9 mg/kg, with a maximum total dose of 90 mg. Ten percent (10%) of the calculated total dose is administered as an IV bolus over 1 minute, with the remaining 90% administered by continuous IV infusion. Question: What bolus dose, in milligrams (mg), should the nurse administer? Numeric value only; round to the nearest tenth.
Read DetailsA patient is admitted with an acute COPD exacerbation and re…
A patient is admitted with an acute COPD exacerbation and receives prescribed bronchodilators, systemic corticosteroids, controlled oxygen therapy, and noninvasive ventilation. Four hours later, the nurse obtains the following findings. For each finding, identify whether it indicates improvement, no meaningful improvement, or worsening in their clinical condition. Clinical Finding Clinical Indication Respiratory rate decreases from 32 to 24/min SpO₂ increases from 84% to 90% on prescribed oxygen PaCO₂ decreases from 68 to 58 mm Hg (ref: 35 – 45 mmHg) Patient becomes increasingly somnolent Accessory muscle use decreases Breath sounds remain diminished bilaterally pH increases from 7.27 to 7.33 (ref: 7.35 – 7.45)
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