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

Administer the medication into the client's muscle.

Apply firm pressure to the injection site following administration.

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

Expel the air bubble from the syringe prior to injection

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

Explanation

A. "Decrease your daily sodium intake."
Incorrect Explanation: This instruction is appropriate for a client taking lithium carbonate.
Explanation: Lithium is a mood-stabilizing medication commonly prescribed for conditions like bipolar disorder. High levels of sodium can lead to increased lithium retention in the body, potentially raising the risk of toxicity. Advising the client to decrease their daily sodium intake helps prevent this.
B. "Take this medication 2 hours before a meal."
Incorrect Explanation: This instruction is not accurate for lithium carbonate.
Explanation: Lithium carbonate is typically taken with food or milk to help minimize stomach upset. Taking it on an empty stomach might increase the risk of gastrointestinal side effects.
C. "Limit foods containing tyramine."
Incorrect Explanation: This instruction is not directly relevant to lithium carbonate.
Explanation: Tyramine is a compound found in some foods and can interact with certain medications like monoamine oxidase inhibitors (MAOIs), but it is not a primary concern with lithium carbonate.
D. "Report swelling of the feet to your provider."
Correct Explanation: This instruction is appropriate for a client taking lithium carbonate.
Explanation: Lithium can lead to water retention, which might result in swelling, particularly in the feet and ankles. Reporting swelling is important as it can be an early sign of potential side effects or changes in kidney function.

A. Hct 43% B. Creatinine 2.5 mg/dL C. Sodium 137 mEq/L D. Hgb 15 g/dL

Correct Answer is B

Explanation

A. Hct 43%
Explanation: Hematocrit (Hct) measures the proportion of blood volume that is occupied by red blood cells. A low Hct level could indicate anemia, which might affect the body's ability to deliver sufficient oxygen to tissues.
B. Creatinine 2.5 mg/dL
Explanation: Elevated creatinine levels indicate potential kidney dysfunction. Tobramycin is primarily excreted by the kidneys, so elevated creatinine levels can increase the risk of tobramycin toxicity due to reduced drug clearance.
C. Sodium 137 mEq/L
Explanation: Sodium level within the normal range. It doesn't directly impact the administration of tobramycin.
D. Hgb 15 g/dL
Explanation: Hemoglobin (Hgb) measures the concentration of oxygen-carrying protein in the blood. A normal hemoglobin level is not directly related to the administration of tobramycin.

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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

A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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