Please use the Heparin Protocol to answer the questions. WEIGHT ADJUSTED HEPARIN PROTOCOLLab Orders: STAT: PT, INR, PTT, CBC STAT: PTT 6 hours after any Heparin BOLUS or rate adjustment. PTT every 6 hours until two (2) consecutive PTTs are therapeutic (46 to 70). Then change PTT to every 24 hours. Stop Heparin infusion if platelet count is less than 100,000 or platelet count drops by 50% pre-Heparin level, and notify healthcare provider. STEPS IN CALCULATING HEPARIN DOSAGE (INITIAL DOSAGE) Change weight in pounds to kilograms. Calculate IV Bolus Heparin at 80 units/kg (80 units per kg). On hand: Heparin 5000 units/1 ml Calculate IV Heparin continuous infusion at 18 units/kg/hr (18 units per kg per hr). On hand: Heparin continuous infusion 25,000 units in 250 ml D5W. Adjust Heparin infusion rate based on the sliding scale below (after the initial dosing and based upon subsequent PTTs): PTT UNITS OF HEPARIN 90 STOP Heparin for 1 hour, Then reduce Heparin infusion by 3 units/kg/hr.   A 295 pound patient is currently on a Heparin drip at {x} ml/hr. The current lab is: PTT 88. The new infusion rate will be ___________ ml/hr. Record your answer using 1 decimal place(s). Enter only a number in the blank.

The nurse instructs her client taking diphenhydramine (Benadryl), a first generation antihistamine, for seasonal allergies. Which statement by the client best illustrates understanding of the instruction?

What are contraindications for laxative use? Select all that apply.

The nurse administers the first dose of prazosin (Minipres), an alpha1 receptor antagonist (blocker). Which is a priority instruction for the nurse to give to the client?

The spouse reports that the client has been using his albuterol (Proventil), a beta2 adrenergic agonist inhaler, more frequently than prescribed. Which is a priority question for the nurse to ask the client?

The nurse cares for a client prescribed Magnesium salts (Milk of Magnesia), an osmotic laxative, for constipation. What should be most important for the nurse to include in teaching?

When measuring a twelve- month-old’s pain, which chart would the nurse utilize?

The nurse obtaining a pulse oximetry reading on a client can place the pulse oximetry sensor on what anatomical positions of the body? SELECT ALL THAT APPLYS

Which pain chart would the nurse use to measure a 5-year-old’s pain?

An hour after administration of an opioid analgesic , a client denies any pain relief. What nonpharmacologic action can the nurse provide to help relieve pain?