A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

"Ensure that the air bubble remains in the syringe."

"Rub the site after injecting the medication."

"Inject the medication into the lateral thigh."

"Release the skin fold before injecting the medication."

Answer and Explanation

The Correct Answer is A

The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.

B-Avoid rubbing a sit may increase the risk of bleeding /irritation

C-The injection is made into the anterolateral or posterolateral aspect of the thigh

D-The skin should not be released before injection as the medication may be injected into the muscle

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Correct Answer is A

Explanation

Both sildenafil and nitroglycerin are vasodilators and can lead to severe hypotension when used together. Sildenafil acts by inhibiting phosphodiesterase 5 (PDE 5), an enzyme that breaks down cGMP, which regulates blood flow in the penis. The medication also results in the dilation of blood vessels in the lungs, which is beneficial for treating pulmonary arterial hypertension.
B, C, D- No interactions with nitroglycerin

A. "This medication will not interfere with the effectiveness of oral contraceptives." B. "You should take this medication once each day at bedtime." C. 'You can continue to wear soft contact lenses while taking this medication." D. 'Your urine will turn orange while you are taking this medication."

Correct Answer is D

Explanation

Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives

A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.

This leads to subtherapeutic levels that increases the risk of pregnancy.

B- The prescription may vary

C- Rifampin causes staining of contact lens and should, therefore, be avoided

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A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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