A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

Aspirate for a blood return before depressing the plunger.

Insert the needle at a 45-degree angle.

The nurse should not expel the air bubble in the prefilled syringe.

Administer the medication 2.54 cm (1 inch) from the umbilicus.

Answer and Explanation

The Correct Answer is C

Choice A reason: Aspirating for a blood return before depressing the plunger is not recommended when administering enoxaparin. Enoxaparin is given subcutaneously, and aspiration is not necessary for subcutaneous injections. Aspiration can cause tissue damage and increase the risk of bleeding.

Choice B reason: Inserting the needle at a 45-degree angle is appropriate for subcutaneous injections if the patient has limited subcutaneous tissue. However, for enoxaparin, the preferred angle is 90 degrees to ensure the medication is delivered into the subcutaneous tissue.

Choice C reason: Not expelling the air bubble in the prefilled syringe is correct. The air bubble in the prefilled syringe of enoxaparin is designed to ensure the entire dose is administered and to prevent leakage of the medication. Expelling the air bubble can result in an incomplete dose.

Choice D reason: Administering the medication 2.54 cm (1 inch) from the umbilicus is correct for subcutaneous injections in the abdomen. However, this statement alone does not address the specific consideration of the air bubble in the prefilled syringe, which is crucial for enoxaparin administration.

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

Explanation

Choice A reason: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure and heart failure. ACE inhibitors can cause orthostatic hypotension, especially in older adults, due to their vasodilatory effects, which can lead to a sudden drop in blood pressure upon standing.

Choice B reason: Clopidogrel is an antiplatelet medication used to prevent blood clots in patients with cardiovascular diseases. It does not typically cause orthostatic hypotension. Its primary side effects are related to bleeding and bruising, rather than blood pressure changes.

Choice C reason: Atorvastatin is a statin used to lower cholesterol levels and reduce the risk of cardiovascular disease. Statins do not generally cause orthostatic hypotension. Their side effects are more commonly related to muscle pain and liver enzyme abnormalities.

Choice D reason: Furosemide is a loop diuretic used to treat edema and hypertension. Diuretics can cause orthostatic hypotension by reducing blood volume and altering electrolyte balance, leading to a decrease in blood pressure upon standing.

Choice E reason: Doxazosin is an alpha-blocker used to treat high blood pressure and benign prostatic hyperplasia. Alpha-blockers are well-known for causing orthostatic hypotension due to their mechanism of action, which involves relaxing blood vessels and reducing blood pressure.

A. I would be happy to do whatever I can to help you. B. What I think you should do is wait for the days when you feel better and do your grocery shopping then. C. I won’t be able to shop for you today because I have to get home to my family. D. Let’s look at some other resources to solve this problem.

Correct Answer is D

Explanation

Choice A reason: I would be happy to do whatever I can to help you. While this response shows empathy and a willingness to help, it does not address the fact that shopping for the client is outside the nurse’s job description. It is important for the nurse to adhere to professional boundaries and find appropriate solutions within those limits.

Choice B reason: What I think you should do is wait for the days when you feel better and do your grocery shopping then. This response is not practical or supportive. It does not provide a solution for the client’s immediate needs and may come across as dismissive of her current difficulties.

Choice C reason: I won’t be able to shop for you today because I have to get home to my family. This response is honest but lacks empathy and does not offer any alternative solutions. It may leave the client feeling unsupported and frustrated.

Choice D reason: Let’s look at some other resources to solve this problem. This response is the most appropriate as it acknowledges the client’s needs and seeks to find a solution within the nurse’s professional boundaries. The nurse can help the client explore options such as grocery delivery services, community resources, or assistance from family and friends.

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A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply)

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

Explanation

Correct Answer is D

Explanation

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