A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg subcutaneous. The client weighs 185 lb. How many mg should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["84.1"]
Weight in kg=185÷2.2≈84.1
Calculate the dose of enoxaparin:
The prescribed dose is 1 mg/kg.
Dose in mg=Weight in kg×Dose per kg
Dose in mg=84.1×1≈84.1
The nurse should administer 84.1 mg of enoxaparin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apply cold compress to the client's flank area - Applying a warm compress, not a cold one, to the flank area can help alleviate pain associated with urolithiasis. Heat can promote muscle relaxation and increase blood flow to the area, potentially easing discomfort.
B. Restrict protein intake to 2 servings per day - There is no direct connection between protein intake and urolithiasis. However, specific dietary recommendations may vary based on the type of kidney stones a person has. For example, individuals with certain types of stones might be advised to limit oxalate-rich foods. It's essential to tailor dietary advice based on the composition of the stones.
C. Encourage intake of at least 3 L of fluids per day - Adequate fluid intake, particularly water, is crucial for preventing the formation of kidney stones. Increased fluid intake can help dilute substances in the urine that contribute to stone formation, reducing the risk of stone recurrence.
D. Discourage ambulation - Encouraging ambulation and movement is generally beneficial for patients with urolithiasis. Movement can help alleviate discomfort, prevent complications such as blood clots, and promote overall well-being. Restricting movement unnecessarily is not advisable.
Correct Answer is ["165"]
Explanation
To calculate the low range of the dosage, we need to use the lower end of the dosage range provided (1.5 mg/kg) and the client's weight in kilograms.
1 lb is approximately equal to 0.45 kg. So, to convert the client's weight from pounds to kilograms:
245 lbs * 0.45 kg/lb = 110.25 kg
Now, to calculate the low range dosage:
Low range dosage = 1.5 mg/kg * 110.25 kg = 165.375 mg
Rounding to the nearest whole number, the nurse should administer 165 mg for the low range of the dosage.
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