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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide disposable training pants while calming the mother: This option addresses the
immediate need to provide comfort and support to the child and mother. Offering disposable
training pants can help manage the situation while the nurse addresses the mother's distress and educates her about age-appropriate toilet training expectations.
B. Refer the mother to a community parent education program: While parent education programs can be beneficial, they are not the initial action needed in this situation, which requires
immediate intervention to support the child and mother.
C. Suggest that the mother consult a pediatric nephrologist: Referring the mother to a pediatric nephrologist may not be necessary at this point, as wetting accidents are common in young
children during the toilet training process. The nurse should first address the immediate emotional needs of the child and mother.
D. Inform the mother that toilet training is slower for boys: While it's true that toilet training can vary in timing for different children, simply providing this information to the mother may not be sufficient in addressing the distressing situation at hand.
Correct Answer is ["A","C","D"]
Explanation
A. Monitoring the client for signs of infection is essential, especially given the history of MRSA, which could recur or be ongoing.
B. Calling the healthcare provider for a prescription without evidence of current infection is premature.
C. Collecting screening cultures for MRSA is important for detecting current colonization or infection.
D. Placing the client on contact transmission precautions is a standard practice for patients with a history of MRSA to prevent the spread of infection[6].
E. Obtaining a sputum specimen for culture and sensitivity may be indicated if there are respiratory symptoms or a high risk of MRSA pneumonia, but it is not specified in this scenario.
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