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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Correct Answer is B

Explanation

Choice A rationale: Hydrochlorothiazide does not typically cause hypocalcemia.
Choice B rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss.
Hypokalemia (low potassium levels) is an adverse effect that needs monitoring due to its potential to exacerbate heart failure and lead to various complications.
Choice C rationale: Hydrochlorothiazide is more associated with hyponatremia rather than hypernatremia.
Choice D rationale: Hydrochlorothiazide is not linked to causing hypermagnesemia.

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

Correct Answer is C

Explanation

Choice A rationale: Myoclonic seizures are not typically associated with neostigmine administration.
Choice B rationale: Fever is not a common adverse effect of neostigmine.
Choice C rationale: Neostigmine, a cholinesterase inhibitor, can lead to excessive muscarinic responses like increased salivation due to its effects on cholinergic receptors.
Choice D rationale: Occipital headaches are not typically reported as a response to neostigmine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

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 is caring for a client who is to start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

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 planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?