A client, who has a deep vein thrombosis is prescribed heparin by continuous IV infusion. The client had a PTT drawn 6 hours after the infusion was started and the result is 49 seconds. The patient weighs 198 lbs. The nurse will adjust the heparin infusion according to the sliding scale listed below. Record the amount to the nearest whole number, that you will increase or decrease the heparin infusion by in units/hr.  Indicate whether this is an INCREASE, a DECREASE or if it will remain the same.  Heparin Protocol PTT (sec) Hold (min) Rate Change (units/kg/hr) Under 40 – Increase infusion rate by 4 units/kg/hr 41 – 60 – Increase infusion rate by 2 units/kg/hr 60 – 100* – No change 101 – 120 30 min Reduce infusion rate by 2 units/kg/hr Over 120 60 min Reduce infusion rate by 4 units/kg/hr

If you want to give  patient 1500 units/hour of heparin and the IV bag of heparin contains 25000 units of heparin in 500 mL of D5W, how many mL/hour will you set the pump at?

The nurse is preparing to administer phenytoin 6mg/kg/day PO divided in equal doses every 12 hours to a client who weighs 44 lb. Available is phenytoin 20 mg/5 ml. The nurse should administer how many mL for each dose? Round the answer to the nearest whole number.

A nurse is completing an 8-hour Intake and Output record for a patient who consumed 4 ounces (oz) beef broth, 8 oz hot coffee, 50 mL ice chips, an Intravenous (IV) bolus of 250 mL, and 8 oz of milk. The nurse should record how many mL of intake on the patient’s record? Record your answer using a whole number._______________

Match the terms with the most appropriate defining statements.

The nurse is preparing to administer D5LR 1,000 mL IV to infuse at 125 mL/hr. The gtt factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? Round the answer to the nearest whole number.

Which of the following statements is not a guideline for writing effective instructions?

What is a “transferable skill”?

True or False: Hepatitis B and C are vaccine preventable. 

True or False: Rotavirus is transmitted by respiratory aerosols.