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

Insert the syringe needle halfway into the client's skin.

Expel the air bubble from the syringe prior to injection.

Administer the medication into the client's muscle.

Apply firm pressure to the injection site following administration.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.

Choice B rationale:

Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.

Choice C rationale:

Enoxaparin is administered subcutaneously, not into muscle tissue.

Choice D rationale:

Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.

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Correct Answer is D

Explanation

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

A. "Ringing in the ears is an expected adverse effect of this medication." B. "Diarrhea is a common adverse effect of this medication? C. "Notify your provider if you develop a fever while taking this medication." D. "You might experience weight loss while taking this medication”

Correct Answer is C

Explanation

Choice A rationale:

Ringing in the ears is not typically associated with clozapine.

Choice B rationale:

Diarrhea is not a common adverse effect of clozapine.

Choice C rationale:

Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.

Choice D rationale:

Weight loss is not a common adverse effect of clozapine.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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