A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5 mg/kg/dose subcutaneously every 12 hours. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["167 "]

To calculate the dose of enoxaparin, follow these steps:

1) Convert the client's weight from pounds to kilograms:

245 lbs / 2.2046 (kg/lb) = 111.13 kg (rounded to the nearest whole number, it's 111 kg).

2) Multiply the weight in kilograms by the prescribed dose per kilogram:

111 kg x 1.5 mg/kg = 166.5 mg.

Round the answer to the nearest whole number, so the nurse should administer 167 mg per dose of enoxaparin every 12 hours to the client with a pulmonary embolism.

Pulmonary Embolism (PE): Symptoms, Signs & Treatment

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Correct Answer is A

Explanation

Choice A Reason: This is correct because dopamine is a vasopressor that increases the contractility and stroke volume of the heart, which results in an increased systolic blood pressure.

Choice B Reason: This is incorrect because dopamine can cause tachycardia as a side eﬀect, but this does not indicate a therapeutic eﬀect. An increased radial heart rate can also indicate other conditions, such as anxiety, fever, or dehydration.

Choice C Reason: This is incorrect because dopamine does not reduce cardiac output, but rather increases it by improving the pumping function of the heart.

Choice D Reason: This is incorrect because dopamine does not reduce urine output, but rather increases it by stimulating the renal blood vessels and enhancing renal perfusion.

A. A client who told an assistive personnel he is short of breath B. A client who received oral pain medication 30 min ago C. A client who is scheduled for an abdominal x-ray and is awaiting transport D. A client who has a prescription for discharge

Correct Answer is A

Explanation

Choice A Reason: This is correct because a client who is short of breath is in immediate danger, as it indicates a possible respiratory compromise or failure. The nurse should assess the client's oxygen saturation, respiratory rate, and lung sounds, and provide oxygen therapy as needed.

Choice B Reason: This is incorrect because a client who received oral pain medication 30 min ago is not in immediate danger, as it indicates that the client's pain has been managed and the medication has had time to take eﬀect.

Choice C Reason: This is incorrect because a client who is scheduled for an abdominal x-ray and is awaiting transport is not in immediate danger, as it indicates that the client's condition is stable and the diagnostic test is not urgent.

Choice D Reason: This is incorrect because a client who has a prescription for discharge is not in immediate danger, as it indicates that the client's condition has improved and the client is ready to leave the hospital.

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A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic eﬀect?

Correct Answer is A

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Correct Answer is A

Explanation

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