Nr40 Medication Math Test Page 8
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1243.
You are caring for a client receiving TNK for an acute myocardial infarction, who has the above orders placed on
their chart. A baseline PTT/INR has been sent to the lab. The client weighs 154 lbs. What is the client’s dose
based on the orders provided?
___________________________________________________________
44.
You are preparing to administer the bolus and have available heparin 5000 units/ml.
How many milliliters
would you prepare to administer? _________________
45.
Based on the client’s weight, how many units per hour would you initiate? ____________
46.
What would you program the infusion pump at (be sure to consider max dose ranges)? _____________________
47.
The IV infusion is initiated at 8 am. A PTT result of 39 seconds is released at 2pm. What action would you take?
48.
The client has a repeat PTT result of 39 seconds released at 3 pm. What would you prepare to perform? (check all
that apply)
a. Stop infusion for one hour
b. Bolus 3000 units of heparin
c. Increase infusion by 0.5 ml/Hr
d. Increase infusion by 1 ml/Hr
e. Increase infusion by 2 ml /Hr
f. Increase infusion by 1.5 ml/Hr
g. Increase infusion by 2.5 ml/Hr
h. Increase infusion by 3 ml /Hr
i.
Repeat the PTT in four hours
j.
Repeat the PTT in six hours
k. Repeat the PTT in the morning.
49.
The client has a PTT result of 111 seconds released at 10 pm. What would you prepare to perform? (check all that
apply)
a. Stop infusion for one hour
b. decrease infusion by 0.5 ml/Hr
c. decrease infusion by 1 ml/Hr
d. decrease infusion by 2 ml /Hr
e. decrease infusion by 1.5 ml/Hr
f. decrease infusion by 2.5 ml/Hr
g. decrease infusion by 3 ml /Hr
h. decrease infusion by 4 ml/Hr
i.
decrease infusion by 5 ml/Hr
j.
decrease infusion by 6 ml /Hr
k. Repeat the PTT in four hours
l.
Repeat the PTT in six hours
m. Repeat the PTT in the morning.
50.
The client has a PTT result of 87 seconds released at 6am. What would you prepare to perform? (check all that
apply)
a. Stop infusion for one hour
b. decrease infusion by 0.5 ml/Hr
c. decrease infusion by 1 ml/Hr
d. decrease infusion by 2 ml /Hr
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