Which of the following signs would alert the nurse to possible ...

[fnuegbu]

Which of the following signs would alert the nurse to possible nutritional alterations? (Select all that apply.)
 
  a. Impaired wound healing
  b. Edema
  c. Nail growth
  d. Muscle atrophy
  e. diaphoresis

Question 2

In the acute phase after STEMI, fibrinolytic therapy is used in combination with heparin to recanalize the coronary artery. The initial heparin bolus is
 
  a. 60 units/kg maximum 5000 units.
  b. 30 units/kg maximum 3000 units.
  c. 25 units/kg maximum of 2500 units.
  d. 12 units/kg maximum of 1000 units.

[mammy1697]

Answer to Question 1

A, B, D
Impaired wound healing, edema, and muscle wasting atrophy are indicative of impaired nutrition. Nail growth would indicate normal caloric intake. Diaphoresis refers to sweating and is indicated with exercising and infection.

Answer to Question 2

A
In the acute phase after ST segment elevation myocardial infarction, heparin is administered in combination with fibrinolytic therapy to recanalize (open) the coronary artery. For patients who will receive fibrinolytic therapy, an initial heparin bolus of 60 units/kg (maximum, 5000 units) is given intravenously followed by a continuous heparin drip at 12 units/kg/hr (maximum 1000 units/hr) to maintain an activated partial thromboplastin time between 50 and 70 seconds (1.52.0 times control).