A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?

Choice A rationale:

While a tuberculin syringe can be used for insulin administration, it’s not necessary when mixing NPH and regular insulin. Insulin syringes are typically used for this purpose.

Choice B rationale:

Injecting air into each vial before withdrawing insulin helps equalize pressure and makes it easier to draw up the insulin. This should be done before withdrawing any insulin.

Choice C rationale:

Withdrawing NPH insulin first contradicts the standard practice of drawing up insulins. The usual recommendation is to draw up short-acting (regular) insulin before intermediate-acting (NPH) insulin.

Choice D rationale:

Shaking the regular insulin vial is unnecessary and could potentially create bubbles, making it harder to draw up the correct dose of insulin.

Choice A rationale:

Blurred vision is not a common side effect of the meningococcal conjugate vaccine.

Choice B rationale:

Tinnitus, or ringing in the ears, is also not a common side effect of this vaccine.

Choice C rationale:

Headache is a common side effect of the meningococcal conjugate vaccine.

Choice D rationale:

Dry mouth is not typically associated with this vaccine.