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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The first action the nurse should take is to assess the client for adverse reactions.
It is important to ensure the client’s safety and well-being before taking any further actions.
Choice A is wrong because filing an incident report is not the first action the nurse should take.
Choice B is wrong because determining factors that led to the omission is not the first action the nurse should take.
Choice D is wrong because reporting the missed dosage to the client’s provider is not the first action the nurse should take.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale:
Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.
Choice B rationale:
Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.
Choice C rationale:
Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.
Choice D rationale:
Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.
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