A nurse is teaching a client about self-administration of enoxaparin.

Which of the following instructions should the nurse include? (Select all that apply.).

"Insert the entire length of the needle into the skin during injection.”

"Massage the insertion site after injecting the medication.”

"Grasp the skin between the thumb and forefinger while injecting the medication.”

"Alternate injection sites between the sides of the abdomen.”

"Expel the air bubble from the prefilled syringe.”

Answer and Explanation

Correct Answer : A,C,D

When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”

Choice B is wrong because the client should not massage the insertion site after injecting the medication.

Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.

The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.

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Correct Answer is D

Explanation

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

A. Hypermagnesemia. B. Hypernatremia. C. Hypocalcemia. D. Hypokalemia.

Correct Answer is D

Explanation

The nurse should monitor the client for hypokalemia as an adverse effect of hydrochlorothiazide.

Hypokalemia refers to a low level of potassium in the blood.

Choice A is wrong because hypermagnesemia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice B is wrong because hypernatremia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice C is wrong because hypocalcemia is not a commonly reported adverse effect of hydrochlorothiazide.

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A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is D

Explanation

A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Correct Answer is D

Explanation

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A nurse is teaching a client about self-administration of enoxaparin.

Which of the following instructions should the nurse include? (Select all that apply.).