A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty.
Which of the following actions should the nurse plan to take?
Aspirate carefully after inserting the needle into the client's skin.
Expel the air bubble from the prefilled syringe before injection.
Administer the injection in the client's thigh.
Insert the needle completely into the client's tissue.
The Correct Answer is D
Choice A rationale
Aspiration is not recommended for subcutaneous injections because it can increase tissue damage and pain. Enoxaparin should be administered without aspiration.
Choice B rationale
Prefilled syringes of enoxaparin contain an air bubble to ensure the entire dose is administered. Expelling the air bubble before injection is not recommended.
Choice C rationale
Enoxaparin should be administered in the abdomen, at least 2 inches away from the umbilicus, to ensure proper absorption and effectiveness.
Choice D rationale
Enoxaparin should be administered subcutaneously, and the needle should be inserted completely to ensure the medication is delivered into the subcutaneous tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Acetaminophen is not used for preventing osteoporosis.
Choice B rationale
Acetaminophen does not prevent urinary retention.
Choice C rationale
Acetaminophen is commonly used as an analgesic for pain relief and as an antipyretic to reduce fever.
Choice D rationale
Acetaminophen does not affect blood sugar levels.
Correct Answer is B
Explanation
Choice A rationale
Cetirizine is an antihistamine used to treat allergy symptoms and is not an NSAID.
Choice B rationale
Celecoxib is a second-generation NSAID that selectively inhibits COX-2 enzyme, reducing inflammation and pain with a lower risk of gastrointestinal side effects.
Choice C rationale
Diphenhydramine is an antihistamine used to treat allergic reactions and is not an NSAID.
Choice D rationale
Aspirin is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes to reduce inflammation, pain, and fever.
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