A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

"Notify your provider if you have dark stools."

"Administer this medication into a large muscle."

"The purpose of the medication is to decrease bleeding!

"Inject the needle at a 15-degree angle."

Answer and Explanation

The Correct Answer is A

A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.

B. Enoxaparin should be injected subcutaneously, not into a muscle.

C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.

D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.

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Correct Answer is B

Explanation

A. Rectus femoris is not commonly used for IM injections in infants due to its proximity to large blood vessels and nerves.

B. The vastus lateralis is the preferred site for IM injections in infants as it is well-developed and away from major blood vessels and nerves.

C. The deltoid is not used for IM injections in infants due to its underdevelopment and small size.

D. The dorsogluteal site is avoided in infants due to the risk of injury to the sciatic nerve.

A. Vomiting 30 mL of fluid B. Urinary output of 20 mL within 1 hr C. Respirations deep at a rate of 10/min D. Blood pressure 90/60 mm Hg

Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid is concerning but not immediately life-threatening in the context of morphine administration.

B. Urinary output of 20 mL in 1 hr is low, but it is not as urgent as respiratory depression.

C. Respirations deep at a rate of 10/min is a sign of respiratory depression, which is a priority concern in patients receiving opioids like morphine, as it can lead to hypoxia and respiratory failure.

D. Blood pressure 90/60 mm Hg is low but not as immediately concerning as respiratory depression in this scenario.

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A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?

Correct Answer is B

Explanation

A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

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