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)

Answer and Explanation

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 A

Explanation

A. Observing the insertion site of the suprapubic catheter is crucial to assess for signs of infection, such as redness, swelling, or drainage. Any abnormalities at the insertion site should be reported promptly for further evaluation and intervention.

B. Palpating the flank area may not be directly related to the care of the suprapubic catheter unless there are specific concerns or symptoms related to the renal system that warrant assessment of the kidneys.

C. While measuring abdominal girth can provide information about abdominal distention or fluid accumulation, it may not directly address the care needs related to the suprapubic catheter unless there are specific concerns related to catheter function or drainage.

D. Assessing the perineal area may be relevant for clients with other types of urinary catheters (e.g., indwelling urethral catheters), but for clients with a suprapubic catheter, the focus is on the site of catheter insertion in the lower abdomen.

A. Provide diet low in phosphorus. B. Note signs of swelling and edema. C. Increase oral fluid intake to 1,500 mL daily. D. Monitor abdominal girth. E. Report serum albumin and globulin levels.

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

Explanation

A. A low phosphorus diet is not typically indicated for liver cirrhosis; instead, a low sodium diet is usually recommended to manage ascites and edema.
B. Noting signs of swelling and edema is important for monitoring fluid retention, a common complication of cirrhosis.
C. Increasing oral fluid intake is not advised without careful assessment due to the risk of fluid overload and worsening of ascites.
D. Monitoring abdominal girth helps in assessing for ascites and its progression, which is crucial in the management of cirrhosis.
E. Reporting serum albumin and globulin levels is important as these can indicate the synthetic function of the liver and help guide treatment.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?

Correct Answer is A

Explanation

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

Explanation

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