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.)
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A rationale: Platelet count monitoring is not specific to warfarin therapy; it's essential for other conditions but not primarily for warfarin monitoring.
Choice B rationale: артт (activated partial thromboplastin time) is more relevant for assessing heparin therapy.
Choice C rationale: INR monitoring is essential for clients on warfarin therapy to assess its anticoagulant effect and maintain therapeutic levels.
Choice D rationale: Fibrinogen monitoring is not specific to warfarin therapy.

Correct Answer is B
Explanation
A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.
B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.
C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.
D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.
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