Med Surg Hesi Practice (A+ GUARANTEED)

Initiate IV infusions of 500 mL of 5% Dextrose in water w/ 25,000 units heparin at a rate of 22 units/kg/HR. The patient weighs 187 lbs(85 kg). At what rate should the IV pump be set to deliver the prescribed rate of infusion? (round to the nearest whole number) correct answers 37 mL/hour 85 kg x 22 units = 1870 units Concentration of the IV solution in 25000 units/500 mL 500/25000= 0.02 units/mL 0.02 x 1870 = 37.4 mL/hour Which nursing intervention should the nurse implement to help reduce the risk for abnormal bleeding during heparin therapy used for DVT? A. Monitor for dysuria or diarrhea B. Auscultate breath sounds regularly C. Maintain heparin on a continuous infusion pump D. Ensure vitamin K is readily available. correct answers C. Maintain heparin on a continuous infusion pump This is essential to ensure that an overdose of heparin is not administered Which nursing interventions will reduce pain related to decreased venous flow (SATA) A. Apply cold packs B. Elevate the affected leg C. Gently massage the affected leg D. Administer NSAIDs PRN for pain E. Apply a warm compress correct answers B. Elevate the affected leg E. Apply a warm compress Elevation and warmth of the extremity promotes venous return and decreases swelling What steps can the nurse take to reduce postop risk of embolization formations? (SATA) A. Vide adequate hydration B. Increase the use of sedation C. Use elastic stockings or sequential compression devices when indicated D. Mobilize the ambulate the client as early as possible E. Perform routine administration of weight-based heparin IV or give LMWH when indicated correct answers A. Vide adequate hydration C. Use elastic stockings or sequential compression devices when indicated D. Mobilize the ambulate the client as early as possible E. Perform routine administration of weight-based heparin IV or give LMWH when indicated