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
Metoprolol is a beta-blocker used for hypertension and angina, not for controlling blood sugar levels.
Choice B rationale
Glucagon is used to treat severe hypoglycemia by increasing blood glucose levels, not for regular blood sugar control.
Choice C rationale
Metformin is an oral hypoglycemic agent used to lower elevated blood glucose levels in type 2 diabetes.
Choice D rationale
Nitroglycerin is a nitrate used to treat angina by dilating blood vessels, not for blood sugar control.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Ethinyl estradiol and drospirenone (Yaz) is a combination oral contraceptive used to prevent pregnancy. It works by inhibiting ovulation, altering the cervical mucus to prevent sperm penetration, and changing the uterine lining to prevent implantation.
Choice B rationale
Finasteride is not used for contraception or prevention of pregnancy. It is primarily used to treat benign prostatic hyperplasia (BPH) and androgenetic alopecia (male pattern baldness).
Choice C rationale
Desogestrel (Mirena) is a hormonal intrauterine device (IUD) used for long-term contraception. It releases a progestin hormone that thickens cervical mucus, inhibits sperm motility, and thins the endometrial lining to prevent pregnancy.
Choice D rationale
Medroxyprogesterone acetate (Depo-Provera) is an injectable contraceptive that provides long-term prevention of pregnancy. It prevents ovulation and thickens cervical mucus to inhibit sperm penetration.
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