A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty.
Which of the following actions should the nurse plan to take?

Aspirate carefully after inserting the needle into the client's skin.

Expel the air bubble from the prefilled syringe before injection.

Administer the injection in the client's thigh.

Insert the needle completely into the client's tissue.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Aspiration is not recommended for subcutaneous injections because it can increase tissue damage and pain. Enoxaparin should be administered without aspiration.

Choice B rationale

Prefilled syringes of enoxaparin contain an air bubble to ensure the entire dose is administered. Expelling the air bubble before injection is not recommended.

Choice C rationale

Enoxaparin should be administered in the abdomen, at least 2 inches away from the umbilicus, to ensure proper absorption and effectiveness.

Choice D rationale

Enoxaparin should be administered subcutaneously, and the needle should be inserted completely to ensure the medication is delivered into the subcutaneous tissue.

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Correct Answer is B

Explanation

Choice A rationale

Albuterol is a beta-agonist used for treating asthma, not a first-generation antihistamine.

Choice B rationale

Diphenhydramine is a first-generation antihistamine commonly used for allergic reactions.

Choice C rationale

Certirizine is a second-generation antihistamine, not a first-generation.

Choice D rationale

Codeine is an opioid analgesic and not related to antihistamines.

A. Acts as an endogenous prostaglandin in the GI tract. B. Creates a protective barrier that adheres to an ulcer, which can stick to the ulcer for up to 6 hours. C. Neutralizes the acidity of the gastric acid. D. Antagonizes H2 receptors on parietal cells.

Correct Answer is B

Explanation

Choice B rationale

Sucralfate (Carafate) acts by forming a viscous, adhesive substance that binds to the ulcer site, creating a physical barrier protecting it from stomach acid and allowing healing.

Choice A rationale

Sucralfate does not function as an endogenous prostaglandin; it does not mimic or enhance prostaglandin activity in the GI tract.

Choice C rationale

Sucralfate does not neutralize gastric acid; that is the function of antacids.

Choice D rationale

Sucralfate does not antagonize H2 receptors on parietal cells; H2 receptor antagonists are a different class of medication.

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A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty.Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing an in-service about medications that are first-generation antihistamines.Which of the following medications should the nurse include in her in-service?

Correct Answer is B

Explanation

A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?

Correct Answer is B

Explanation

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A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty.
Which of the following actions should the nurse plan to take?