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 A
Explanation
Choice A rationale
Azithromycin can prolong the QT interval, leading to potential cardiac arrhythmias. Patients with a history of prolonged QT interval or other heart conditions should be monitored closely.
Choice B rationale
Constipation is not commonly associated with azithromycin use. Gastrointestinal side effects may include diarrhea or nausea but not constipation.
Choice C rationale
While tachycardia can be a side effect of some medications, azithromycin is more commonly associated with QT prolongation rather than causing increased heart rate directly.
Choice D rationale
Hyperkalemia is not typically a concern with azithromycin. Electrolyte imbalances are not a common side effect of this antibiotic.
Correct Answer is A
Explanation
Choice A rationale
Naloxone (Narcan) is an opioid antagonist that works by binding to opioid receptors in the central nervous system, displacing opioids, and reversing their effects such as respiratory depression and sedation.
Choice B rationale
Abstinence syndrome is treated with medications that manage withdrawal symptoms rather than reversing opioid effects, which is not naloxone's primary use.
Choice C rationale
Naloxone does not have analgesic properties, meaning it does not relieve pain; it is specifically used to counteract opioid overdose.
Choice D rationale
Naloxone is not used to treat hypoglycemia, which is a condition of low blood sugar levels, managed by glucose administration.
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