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Question 1 of 5

The nurse has an order to administer a heparin drip at 12 units/kg/hr. The client weighs 178 pounds. The heparin is available as 25,000 units in 500 mL D5W. At which rate should the nurse program the pump?

Correct Answer: 11.3

Rationale: Weight: 178 lbs ÷ 2.2 = 80.91 kg. Dose: 80.91 × 12 = 970.92 units/hr. Concentration: 25,000 units ÷ 500 mL = 50 units/mL. Rate: 970.92 ÷ 50 = 19.42 mL/hr (rounded to 19.4 mL/hr).

Question 2 of 5

A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?

Correct Answer: D

Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.

Question 3 of 5

A client diagnosed with gout 10 years ago admits she has never treated her gout and hoped it would just go away. The nurse knows all of the following are potential complications from untreated gout EXCEPT

Correct Answer: D

Rationale: Untreated gout can lead to kidney stones, tophi (uric acid nodules), and joint deformities due to chronic urate deposition. Peripheral neuropathy is not a typical complication.

Question 4 of 5

The autopsy results in SIDS-related death will show the following consistent findings:

Correct Answer: D

Rationale: SIDS autopsies often show pulmonary edema and intrathoracic hemorrhages, though the exact cause remains unclear and findings are not always definitive.

Question 5 of 5

A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.

Correct Answer: 0.25

Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.

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