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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 B

Explanation

Choice A rationale:

While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.

Choice B rationale:

In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.

Choice C rationale:

Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.

Choice D rationale:

Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.

A. BUN 16 mg/dL B. Potassium 5.3 mEq/L C. Sodium 142 mEq/L D. Albumin 4 g/Dl

Correct Answer is B

Explanation

Choice A rationale:

BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.

Choice B rationale:

Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.

Choice C rationale:

Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.

Choice D rationale:

Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.

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

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