A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 ml. prefiled syringe. How many ml. should the nurse administer? (Enter numerical value only)
The Correct Answer is ["0.8"]
Step 1: Convert the client’s weight from pounds to kg. 1 kg is approximately 2.2 lbs. So, 176 lbs÷ 2.2 = 80 kg (rounded to the nearest whole number).
Step 2: Calculate the total mg of enoxaparin sodium needed per day.
The prescription is for 1.5 mg/kg/day. So, 80 kg × 1.5 mg/kg/day = 120 mg/day.
Step 3: Calculate the mL of enoxaparin sodium needed. The medication is available in a 120 mg/0.8 mL prefilled syringe. So, 120 mg ÷ 120 mg/0.8 mL = 0.8 mL.
The nurse should administer 0.8 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. A diet low in phosphorus is not typically indicated for liver cirrhosis; instead, a low sodium diet is recommended to manage edema and ascites.
B. Noting signs of swelling and edema is important as these are common complications of cirrhosis due to hypoalbuminemia and portal hypertension.
C. Increasing oral fluid intake is not advised as it can exacerbate fluid accumulation in the abdomen (ascites) and peripheral tissues.
D. Monitoring abdominal girth helps in assessing the progression of ascites, which is a common complication of cirrhosis.
E. Reporting serum albumin and globulin levels is crucial as they provide information on the liver's synthetic function and the severity of liver disease.
Correct Answer is D
Explanation
Rationale for A: Encouraging rest might seem beneficial, but it does not address the immediate comfort need of the patient who is experiencing severe epigastric pain. Resting in a supine position may actually exacerbate the pain associated with pancreatitis.
Rationale for B: Raising the head of the bed to a 90-degree angle could potentially increase intra-abdominal pressure, which may worsen the pain for a patient with pancreatitis.
Rationale for C: The reverse Trendelenburg position is not typically indicated for pain relief in pancreatitis. This position might be used to promote gastric emptying or to alleviate respiratory distress, but not specifically for pancreatitis pain.
Rationale for D: Leaning forward can help decrease the pain in pancreatitis by reducing the tension on the peritoneal surfaces. Positioning a bedside table for the client to lean across can provide the necessary support for this position, which aligns with the recommendations for pain relief in pancreatitis.
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