A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr.

The client's weight is 121 lb.

Available is enoxaparin 60 mg/0.6 mL.

How many mL 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.)

0.5 mL.

0.600 mL.

0.6 mL.

0.8 mL.

Answer and Explanation

The Correct Answer is C

First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.

Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.

Rounded to the nearest tenth, this is 0.6 mL.

Choice A is wrong because it is less than the calculated dose of 0.6 mL.

Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.

Choice D is wrong because it is greater than the calculated dose of 0.6 mL.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”

Choice B is wrong because the client should not massage the insertion site after injecting the medication.

Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.

The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.

A. Peripheral edema. B. Alopecia. C. Tinnitus. D. Drowsiness.

Correct Answer is D

Explanation

The nurse should instruct the client to monitor for drowsiness as an adverse effect of taking paroxetine.

Choice A is wrong because peripheral edema is not a common adverse effect of paroxetine.
Choice B is wrong because alopecia is not a common adverse effect of paroxetine.
Choice C is wrong because tinnitus is not a common adverse effect of paroxetine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["A","C","D"]

Explanation

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease. Which of the following actions should the nurse take?

A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?