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 D

A. Administer the medication into the client's muscles.
Explanation: This is incorrect because enoxaparin is usually administered subcutaneously, not into the muscle.
B. Apply firm pressure to the injection site following administration.
Explanation: This is incorrect because while applying gentle pressure after a subcutaneous injection is common practice, it is not specific to enoxaparin.
C. Insert the syringe needle halfway into the client's skin.
Explanation: This is incorrect because the needle should be inserted fully into the subcutaneous tissue, not just halfway, for proper administration of enoxaparin.
D. Expel the air bubble from the syringe prior to injection.
Explanation: This is the correct action. Expelling air bubbles from the syringe prior to injection helps ensure accurate dosing and prevents air from being injected into the subcutaneous tissue.
When administering enoxaparin (low molecular weight heparin) subcutaneously, it's important to expel any air bubbles from the syringe before injection. Air bubbles can cause discomfort and inaccuracies in dosage. The nurse should gently tap the syringe to move air bubbles to the top and then push the plunger slightly to expel the air. The other options are not correct procedures for administering enoxaparin. It is typically injected into the subcutaneous tissue, not a muscle, and firm pressure is not typically applied after administration. The needle is fully inserted into the skin, not halfway.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The nurse should report the Total bilirubin 1.5 mg/dL to the provider.
Amitriptyline is an antidepressant medication, and elevated total bilirubin levels can indicate potential liver dysfunction or impairment. It's important to report any significant changes in liver function values to the provider, especially when a client is taking medications that can affect liver metabolism. The other laboratory values mentioned are within normal ranges and would not typically be of concern in the context of amitriptyline use.
B. Potassium 4.2 mEq/L:
This value is within the normal range. Potassium levels of 4.2 mEq/L are considered normal. While potassium levels are important to monitor, this result does not indicate a need for immediate reporting.
C. WBC count 5,000/mm³:
This value is within the normal range. A white blood cell (WBC) count of 5,000/mm³ is within the typical range. It suggests a normal immune response and does not require reporting.
D. Hct 44: This value is incorrect. The hematocrit (Hct) value of 44 is not accompanied by the unit of measurement (percentage or fraction). Hematocrit values measure the proportion of red blood cells in the blood and are usually reported as a percentage. If this value is indeed 44%, it falls within a normal range for both men and women. However, if the unit is different (such as a 44% fraction), it might be an incorrect unit conversion. The nurse should verify the unit of measurement and report any discrepancies or errors to the provider for clarification.

A. Warmer skin B. Increased sleeping C. Increase in pulse rate D. Weight loss

Correct Answer is D

Explanation

A. Warmer skin:
Correct Answer: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism, including Graves' disease, can lead to an overactive metabolism, which can cause the person to feel unusually warm. Methimazole helps reduce the production of thyroid hormones, which can lead to a decrease in the metabolic rate and result in the client feeling less warm.
B. Increased sleeping:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can cause insomnia or difficulty sleeping due to the increased metabolic rate and heightened levels of thyroid hormones. As methimazole helps normalize thyroid hormone levels, improved sleep patterns can be observed in clients with Graves' disease.
C. Increase in pulse rate:
Incorrect Explanation: An increase in pulse rate is not the expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can lead to an elevated resting heart rate due to increased thyroid hormone levels stimulating the cardiovascular system. Methimazole is used to help bring thyroid hormone levels back to normal, which should lead to a reduction in the pulse rate over time.
D. Weight loss:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Weight loss is a common symptom of hyperthyroidism due to the increased metabolic rate. Methimazole helps lower thyroid hormone levels, which can result in a decreased metabolic rate and gradual weight stabilization.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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