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A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneously every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["43.2"]

- To calculate the dose of enoxaparin, first convert the client's weight from pounds to kilograms by dividing by 2.2.

- 95 lbs / 2.2 = 43.18 kg

- Then, multiply the weight in kilograms by the prescribed dose of 1 mg/kg. - 43.18 kg x 1 mg/kg = 43.18 mg

- Finally, round the answer to the nearest tenth of a milligram.

- 43.18 mg ≈ 43.2 mg

- Therefore, the nurse should administer 43.2 mg of enoxaparin per dose subcutaneously every 12 hours.

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Correct Answer is B

Explanation

A. This statement is incorrect. Drying time is actually shorter with a synthetic cast compared to a plaster cast. Synthetic casts use a chemical reaction for hardening, which typically sets faster than the drying process of plaster.

B. Correct. A synthetic cast is generally lighter in weight compared to a plaster cast. This can be more comfortable for the patient and may provide better mobility.

C. This statement is incorrect. Plaster casts do not necessarily require expensive equipment for application. Both types of casts require appropriate materials and training for application, but cost can vary based on factors like the type of material and the specific clinical setting.

D. This statement is incorrect. Both plaster and synthetic casts are effective for immobilizing bone fractures when applied correctly. The choice between the two often depends on factors such as the type of fracture, patient comfort, and clinician preference.

A. This service focuses on teaching the primary caregiver to meet the client's needs. B. The emphasis is on the client's complete recovery from the illness or injury. C. This service began with the client's admission to the hospital. D. Services are centered in long-term care facilities.

Correct Answer is A

Explanation

A. This option is correct. Rehabilitative care often involves educating the primary caregiver on how to assist the client in their recovery process.

B. This option suggests a focus on complete recovery, but rehabilitative care may also focus on adapting to new circumstances if complete recovery is not possible.

C. This option refers to the initiation of services, which may not specifically pertain to rehabilitative care.

D. This option incorrectly associates rehabilitative care exclusively with long-term care facilities. While rehabilitative care may occur in such facilities, it can also occur in other settings.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

Correct Answer is A

Explanation

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium?

A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast?