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.)

Answer and Explanation

The Correct Answer is ["0.6"]

Calculation: 1 mg/kg dose x 121 lb (weight) = 55 kg (approximately) 55 kg x 1 mg = 55 mg (dose required) Enoxaparin 60 mg/0.6 mL = 100 mg/mL Therefore, 55 mg / 100 mg/mL =

0.55 mL (rounded to 0.6 mL).

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Free Nursing Study Resources

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

Explanation

Choice A rationale: For subcutaneous injections like enoxaparin, the entire length of the needle needs to be inserted to ensure that the medication reaches the fatty tissue under the skin and reduces the risk of bleeding or bruising.
Choice B rationale: The client should not massage the insertion site after injecting the medication, as this may increase the risk of hematoma formation.
Choice C rationale: The client should alternate injection sites between the sides of the abdomen to prevent bruising and irritation.
Choice D rationale: The client should also grasp the skin between the thumb and forefinger while injecting the medication to create a fold of tissue. This ensures that the medication is delivered into the subcutaneous layer and not the muscle.
Choice E rationale: The client should not expel the air bubble from the prefilled syringe, as this helps to seal the medication in the tissue and prevent leakage while ensuring that you receive the full dose of medication.

A. Montelukast B. Pantoprazole C. Isosorbide mononitrate D. Propranolol

Correct Answer is D

Explanation

Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.

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

Correct Answer is D

Explanation

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