The nurse is caring for a patient in a balanced suspensiontraction. The patient needs to be repositioned toward the head ofthe bed. What is an appropriate nursing intervention whenrepositioning the patient?
a) Release the weights and replace them immediately afterpositioning
b) Reposition the bed instead of repositioning the patient
c) Maintain consistent traction tension while repositioning
d) Place slight additional tension on the traction cord
2) The nurse is preparing to administer IV heparin to a patientwith deep vein thrombosis. The order is for 250 units of heparin IVevery hour. The pharmacy sent 25,000 units of heparin in 500 mL of5% dextrose in water (D5W). The nurse will set the infusion pumpflow rate for——- mL/hr. Fill in the blank.
a) 5 mL/hr
b) 25 mL/hr
c) 50 mL/hr
d) 75 mL/hr
3) The nurse is caring for a HIV infected patient,antiretroviral therapy is being considered. Which nursingassessment is the most important determining if antiretroviraltherapy will be used?
a) Social support system offered by significant others andfamily
b) Socioeconomic status and availability of medicalinsurance
c) Understanding of the multiple side effects that the drugs maycause
d) Willingness and ability to comply with stringent medicationschedules
