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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
It works by slowing down the heart rate and reducing the force of heart muscle contraction.
Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.
Choice B is wrong because respiratory rate is not directly affected by propranolol.
Choice C is wrong because temperature is not directly affected by propranolol.
Choice D is wrong because pain level is not directly affected by propranolol.
Correct Answer is C
Explanation
The nurse should inform the client that they will need to take two or more medications to treat their disease [C].
The treatment of active pulmonary tuberculosis typically involves a combination of several antibiotics for a period of 6 to 12 months.
Choice A is wrong because monitoring kidney function is not typically necessary while taking medication for tuberculosis [A].
Choice B is wrong because tuberculin skin tests are not necessary every 6 months while taking medication for tuberculosis [B].
Choice D is wrong because the duration of treatment for active pulmonary tuberculosis is typically 6 to 12 months, not 3 years [D].
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