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 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.

A. Hypothyroidism. B. History of alcohol use disorder. C. Recurrent headaches. D. BP 92/60 mm Hg.

Correct Answer is B

Explanation

Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.

Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.

Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.

Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.

Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug?

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 assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

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 caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?

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 discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)