A client who had a knee replacement surgery receives a prescription for enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is available in 30 mg per 0.3 mL prefilled syringes. How many mL should the practical nurse (PN) administer each day? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["0.6"]

Medication dose: 30 mg enoxaparin
Medication concentration: 30 mg per 0.3 mL (prefilled syringe)
Frequency: Every 12 hours
Duration: 10 days

Calculation:

Injections per day: Since the medication is given every 12 hours, the client will receive injections 2 times per day (24 hours / 12 hours/injection).
Total medication per day: To find the total amount of enoxaparin needed per day, multiply the single injection dose by the number of injections:

Total enoxaparin/day = Dose per injection x Number of injections/day = 30 mg/injection x 2 injections/day = 60 mg/day

Volume of medication per day: Now, we need to find the volume of solution needed to deliver the total daily dose (60 mg) based on the medication concentration (30 mg/0.3 mL). We can achieve this with a proportion:

Volume (mL) / Total dose (mg) = Concentration (mg/mL)

Volume (mL) = (Total dose (mg) x Concentration (mL/mg)) / Concentration (mg/mL)

Plugging in the values:

Volume (mL) = (60 mg x 0.3 mL/mg) / 30 mg/mL

Volume (mL) = 18 mL / 30 mL/mL

Simplifying:

Volume (mL) = 0.6 mL

Therefore, the practical nurse (PN) should administer 0.6 mL of enoxaparin each day.

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

- Determine the total milligrams needed: The prescription is for 600 mg.

- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.

- Calculate the volume required to provide the prescribed dose: Divide the total milligrams needed by the concentration.

- Perform the calculation: 600/400= 1.5

Answer = 1.5 ml

A. Avoid discussion of negative situations that may occur in the future. B. Involve your mother in the decision making process. C. Saying "no" to things involving the care of your mother is a selfish action. D. It is okay not to love or like your mother when you are caring for her. E. Helping your mother should be easier than raising a child. F. Take time for yourself and the other relationships that you care about. G. You made a promise to your mother that you need to keep.

Correct Answer is ["B","D","F"]

Explanation

A. Avoid discussion of negative situations that may occur in the future.
Not Applicable
Avoiding discussions about potential negative situations is not helpful in addressing caregiver stress. Open and honest conversations about future challenges can prepare caregivers and help them develop coping strategies. Addressing potential issues proactively supports both the caregiver and the care recipient.
B. Involve your mother in the decision-making process.
Applicable
Involving the mother in decision-making helps to validate her feelings and preferences, which can alleviate some of the caregiver’s stress. Shared decision-making respects the mother’s autonomy and can reduce feelings of resentment or frustration from the daughter. This approach fosters a collaborative environment that can ease the caregiver’s burden.
C. Saying "no" to things involving the care of your mother is a selfish action.
Not Applicable
Saying "no" is not a selfish action but a necessary step for maintaining personal well-being. Encouraging caregivers to set boundaries is crucial for managing stress and preventing burnout. Supportive statements should affirm that self-care is essential for effective caregiving.
D. It is okay not to love or like your mother when you are caring for her.
Applicable
Acknowledging that it is okay not to have positive feelings towards the person being cared for can reduce caregiver guilt and stress. Caregivers may experience complex emotions, and recognizing these feelings as normal helps them manage their roles more effectively. This statement supports emotional honesty and resilience in caregiving.
E. Helping your mother should be easier than raising a child.
Not Applicable
Comparing caregiving to raising a child dismisses the unique challenges of elder care and can invalidate the caregiver’s stress. Each caregiving situation is different, and caregivers should be encouraged to recognize and address the specific difficulties they face. Comparisons can be unhelpful and diminish the caregiver’s experiences.
F. Take time for yourself and the other relationships that you care about.
Applicable
Encouraging caregivers to take time for themselves is essential for preventing burnout and maintaining overall well-being. Self-care helps caregivers manage stress and sustain their own health and relationships. This approach supports the caregiver’s needs and acknowledges the importance of balance.
G. You made a promise to your mother that you need to keep.
Not Applicable
Emphasizing promises can increase feelings of guilt or obligation rather than addressing the caregiver’s stress. Caregiver support should focus on practical strategies for managing stress rather than reinforcing burdensome promises. This statement can exacerbate feelings of pressure and strain

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A client who had a knee replacement surgery receives a prescription for enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is available in 30 mg per 0.3 mL prefilled syringes. How many mL should the practical nurse (PN) administer each day? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

Correct Answer is ["B","D","F"]

Explanation

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