The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will most effectively guide the provider to a diagnosis of DIC?

A patient is ordered a heparin infusion at 1200 units/hour. Historically, IV heparin is premixed as 25,000 units of heparin in 250 mL NSS at the institution. Nurse A starts the infusion at 12 mL/hr at 1700. The nurse asks their colleague to cosign the infusion for a prescribed rate change at 1900. Nurse B reminds Nurse A that there has been a recent pharmacy policy change. The IV heparin that the patient is currently receiving is 50,000 units in 250 mL in NSS. Which of the following action(s)/statement(s) are accurate in this scenario? (Select All that Apply.)

The nurse is caring for a client with SOB, wheezes, urticaria, itching and angioedema after receiving vancomycin IV. What is the priority nursing intervention after stopping the medication? Administer:

A patient is ordered 1 unit of packed red blood cells (250mL) to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)

The nurse is caring for a patient with muffled heart sounds, jugular venous distention and hypotension. The provider diagnoses the patient with cardiac tamponade. The nurse understands that the priority of treatment for this type of shock is