A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 ml. prefiled syringe. How many ml. should the nurse administer? (Enter numerical value only)
The Correct Answer is ["0.8"]
Step 1: Convert the client’s weight from pounds to kg. 1 kg is approximately 2.2 lbs. So, 176 lbs÷ 2.2 = 80 kg (rounded to the nearest whole number).
Step 2: Calculate the total mg of enoxaparin sodium needed per day.
The prescription is for 1.5 mg/kg/day. So, 80 kg × 1.5 mg/kg/day = 120 mg/day.
Step 3: Calculate the mL of enoxaparin sodium needed. The medication is available in a 120 mg/0.8 mL prefilled syringe. So, 120 mg ÷ 120 mg/0.8 mL = 0.8 mL.
The nurse should administer 0.8 mL
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Correct Answer is D
Explanation
A. Increasing oral fluid intake is not a recommended treatment for skin flushing caused by tadalafil. Skin flushing is a common side effect and usually resolves on its own without the need for increased fluid intake.
B. Advising the client to take nitroglycerin is inappropriate and potentially dangerous. Tadalafil and nitroglycerin both lower blood pressure, and their combined use can lead to a significant drop in blood pressure, which can be life-threatening.
C. Telling the client to go to the emergency department is unnecessary in this case. Skin flushing is a known side effect of tadalafil and does not typically require emergency medical attention unless accompanied by other severe symptoms.
D. Reassuring the client that skin flushing is a common side effect of tadalafil is appropriate. This side effect is generally mild and temporary, and the client should be informed that it is not a cause for concern.
Correct Answer is A
Explanation
A. Applying the positive airway pressure (PAP) device is crucial for managing obstructive sleep apnea (OSA and ensuring the client receives continuous positive airway pressure during sleep to prevent airway obstruction.
B. Elevating the head of the bed may be helpful in managing OSA, but ensuring the client uses the PAP device takes precedence.
C. Removing dentures or other oral appliances may improve comfort but is not as essential as ensuring proper use of the PAP device.
D. Lifting and locking the side rails may be important for safety but is not directly related to managing OSA.
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