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)

Answer and Explanation

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

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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.

A. Eat salt substitute B. Eat more canned vegetables. C. Include oatmeal for breakfast D. Consume foods with saturated fats. E. Walk 30 minutes per day

Correct Answer is ["B","D"]

Explanation

Salt substitutes can be used in moderation to help reduce sodium intake, which is beneficial for controlling blood pressure, a key aspect of managing coronary artery disease (CAD).

B. Eat more canned vegetables - Canned vegetables can be high in sodium, which is not recommended for clients with coronary artery disease as it can contribute to hypertension and further heart strain.

C. Include oatmeal for breakfast - This is a recommended practice as oatmeal is high in soluble fiber, which can help lower cholesterol levels.

D. Consume foods with saturated fats - Saturated fats can increase the level of bad cholesterol in the blood, contributing to the progression of coronary artery disease, thus not recommended.

E. Walk 30 minutes per day - This is a recommended practice as regular physical activity can help manage weight, lower cholesterol, and reduce blood pressure.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Correct Answer is D

Explanation

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Correct Answer is ["B","D"]

Explanation

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