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.)
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Remain on bedrest for the first 24 hr.: This is not recommended after arthroscopic knee surgery. Early mobilization and ambulation are encouraged to prevent complications such as blood clots and promote healing.
B. Apply ice to the affected area: This is an important instruction. Applying ice can help reduce swelling and pain after surgery. It's typically recommended for the first 24-48 hours.
C. Begin active range of motion: While range of motion exercises are important, they should be initiated as directed by the healthcare provider, and they should be done gently to avoid straining the surgical site.
D. Keep the leg in a dependent position: This is not recommended. Elevating the leg can help reduce swelling and promote circulation. Keeping the leg in a dependent position could exacerbate swelling and discomfort.
Correct Answer is ["15"]
Explanation
- To calculate the mL per dose, use the formula: mL = (mg x 5) / 25
- Plug in the given values: mL = (75 x 5) / 25
- Simplify the equation: mL = 15
- Round the answer to the nearest whole number: mL = 15
- The nurse should administer 15 mL of indomethacin per dose.
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