A nurse observes a newly licensed nurse administer enoxaparin subcutaneously using a pre- filled syringe. Which of the following indicates appropriate medication administration?
Transferring the medication into a U-100 insulin syringe for injection
Removing the air bubble from the prefilled syringe prior to administration
Inserting the needle into the tissue using a 30-degree angle
Administering the injection in the love handles. 2 in from the umbilicus
The Correct Answer is D
D. Administering the injection in the love handles, 2 inches from the umbilicus. It is important not to remove the air bubble from the prefilled syringe, as it is designed to ensure the entire dose of medication is administered.
A. Enoxaparin should not be transferred into another syringe unless specifically instructed by the manufacturer or pharmacy guidelines. Pre-filled syringes are designed to deliver the correct dose accurately and safely.
B. It is important not to remove the air bubble from the prefilled syringe, as it is designed to ensure the entire dose of medication is administered.
C. A 30-degree angle is too shallow for subcutaneous injections and may result in the medication being deposited too close to the skin surface, potentially causing irritation or affecting absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This indicates a slight positive fluid balance (+100 mL), meaning the client has taken in slightly more fluids than they have excreted. This could be acceptable depending on the client's clinical condition and fluid status.
B. This indicates a negative fluid balance (-500 mL), suggesting the client has excreted more fluids than they have taken in. In some situations, such as in patients with certain conditions like edema, a negative balance might be intended.
C. This indicates a significant negative fluid balance (-1,300 mL), where the client has excreted much more fluid than they have taken in. This could indicate dehydration or fluid loss that needs to be addressed promptly.
D. This indicates a significant positive fluid balance (+2,000 mL), where the client has taken in much more fluid than they have excreted. This could indicate fluid retention, which might be acceptable in certain clinical conditions but could be problematic in others, such as in patients with congestive heart failure.
Correct Answer is B
Explanation
B. This range represents the normal serum magnesium level. It is important for maintaining neuromuscular function and other vital processes in the body.
A. This range is too low for normal serum magnesium levels. Magnesium levels below this range can indicate hypomagnesemia, which can lead to symptoms such as muscle cramps, tremors, and cardiac arrhythmias.
C. This range is too high for normal serum magnesium levels. Elevated magnesium levels (hypermagnesemia) can occur in conditions such as renal failure or excessive magnesium intake, leading to symptoms like weakness, decreased reflexes, and in severe cases, cardiac arrest.
D. While this range is broader and includes the correct normal range (1.3-2.1 mEq/L), it also includes values that are below and above normal. Values below 1.3 mEq/L can indicate hypomagnesemia, while values above 2.1 mEq/L can indicate hypermagnesemia.
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