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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Starting a new exercise program is not directly associated with the development of hypomagnesemia.
Choice B rationale:
Starting a new exercise program is not directly associated with the development of hypokalemia.
Choice C rationale:
Starting a new exercise program is not directly associated with the development of hypocalcemia.
Choice D rationale:
Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.
Correct Answer is C
Explanation
Choice A rationale:
A hematocrit (Hct) value of 44% is within the expected range and does not require immediate reporting.
Choice B rationale:
A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.
Choice C rationale:
Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.
Choice D rationale:
A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.
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