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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Correct Answer is B

Explanation

The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin

Fever is a common symptom of an infusion reaction to amphotericin

Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin

A. Occipital headache. B. Fever. C. Excessive salivation. D. Myoclonic seizure.

Correct Answer is C

Explanation

Neostigmine is an anticholinesterase inhibitor that indirectly stimulates both nicotinic and muscarinic receptors by interfering with the breakdown of acetylcholine.

Stimulation of muscarinic receptors can lead to increased salivation.

Choice A is wrong because an occipital headache is not a manifestation of a muscarinic response to neostigmine.

Choice B is wrong because fever is not a manifestation of a muscarinic response to neostigmine.

Choice D is wrong because a myoclonic seizure is not a manifestation of a muscarinic response to neostigmine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

A nurse is initiating IV therapy for a client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?

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

A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?