While performing a physical examination during a well-child check on a 6-month-old infant, the nurse hears a loud machinery murmur.
Identify the area on the child's chest where this abnormal heart sound can best be heard. (Place cursor on the correct area and click.)
A client is to receive a heparin drip at 800 units per hour. The medication is mixed heparin 20,000 units in 500 mL of D5W. At what rate should the nurse set the volumetric pump?
What will be an ideal response?
An adult client with Hodgkin's disease who weighs 168 pounds is to receive vincristine (Oncovin), 25 mcg/kg IV. Calculate the correct medication dosage and type the answer in the box.
What will be an ideal response?
A client who had a kidney transplant experiences myelosuppression as one of the side effects of the antirejection medication. Select the points the nurse should include in the client's home dis-charge plan. (Select all that apply.)
a. Avoid people who have recently received attenuated vaccines.
b. Use ibuprofen (Motrin) or acetaminophen (Tylenol) every 4 hours for pain.
c. Wash your hands frequently.
d. Clean the cat-litter box daily.
e. Avoid going to the shopping mall.
f. Gargle with a mouthwash for a sore throat because it is an expected side effect.
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