A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

Massage the injection site after administering the medication.

Expel the air bubble from the syringe prior to administering the medication.

Hold the skin taut at the injection site while administering the medication.

Administer the medication into the anterolateral or posterolateral abdominal area.

Answer and Explanation

The Correct Answer is D

The injection should be done on the anterolateral or posterolateral abdominal wall. This is because there is adequate distribution of subcutaneous tissue in this region preventing injection into the muscle.

C-The skin should be pinched to ensure that the injection is delivered into the subcutaneous tissue

A-Massaging the area may cause irritation

B-The bubble should not be expelled

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Correct Answer is B

Explanation

Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.

A- This does not apply to all medications

C-Asking a colleague may not be accurate

D- The clients records may not contain all the relevant information needed

A. Ask another nurse to check the medication dosage prior to administration. B. Verify a written order with the medication administration record. C. Use two client identifiers prior to administering the medication. D. Document the full name of the prescribed medication after administration.

Correct Answer is C

Explanation

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

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A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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