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 D

Explanation

A. Keep the bed in the lowest position and initiate seizure and fall precautions: While seizure and fall precautions may be necessary for safety, the client's symptoms, including right-sided weakness and sluggish speech, are indicative of a potential stroke rather than a seizure. Immediate intervention to assess for and treat possible stroke is critical.

B. Place an indwelling urinary catheter and measure strict intake and output: Although urinary management may be necessary, it is not the priority in this situation. The client's symptoms suggest a neurological issue that requires urgent assessment and intervention.

C. Maintain elevated positioning of the dependent joints on affected side: Elevating the dependent joints is a strategy used in managing conditions like stroke to prevent complications such as edema, but it does not address the immediate need for stroke assessment and intervention.

D. Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy: Correct! The client's presentation with right-sided weakness and sluggish speech suggests a possible ischemic stroke. Starting IV access and reviewing inclusion criteria for IV fibrinolytic therapy (tPA is crucial for timely intervention to restore blood flow and minimize neurological damage.

A. Remove the catheter and palpate the client's bladder for residual distention. B. Remove the catheter and replace with an indwelling catheter. C. Allow the bladder to empty completely or up to 1,000 mL of urine. D. Clamp the catheter for thirty minutes and then resume draining.

Correct Answer is C

Explanation

A. After straight catheterization, assessing for residual urine volume in the bladder helps determine if the bladder has emptied adequately. Palpation of the client's bladder can provide information about residual urine volume.

B. Replacing the catheter with an indwelling catheter is not indicated unless there are specific reasons for continuous drainage.

C. Allowing the bladder to empty further without assessing for residual distention may lead to incomplete bladder emptying, which can cause urinary retention and discomfort.

D. Clamping the catheter for thirty minutes is not appropriate after straight catheterization and may result in urinary retention or discomfort for the client.

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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

The nurse is caring for a client who arrives to the emergency department with reports of experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided weakness and sluggish enunciation of speech. The nurse should immediately take which action?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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