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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metformin is an oral diabetes medication that can interact with iodine-containing contrast dye, potentially leading to lactic acidosis.
Choice B rationale
Levothyroxine is used to treat hypothyroidism and does not interact with iodine-containing contrast dye.
Choice C rationale
Insulin Lispro is a rapid-acting insulin used to control blood sugar levels in diabetes and does not interact with iodine-containing contrast dye.
Choice D rationale
NPH Insulin is an intermediate-acting insulin used to control blood sugar levels and does not interact with iodine-containing contrast dye.
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Taking one dose immediately and continuing the regular schedule might not provide sufficient contraceptive protection after missing three days.
Choice B rationale
Using an alternative form of contraception for 7 days is appropriate to ensure continued contraceptive protection after missing doses.
Choice C rationale
Taking two doses over the next two days can help catch up, but using an additional form of contraception for 7 days is also recommended to ensure protection.
Choice D rationale
Continuing the medication as prescribed without any additional precautions could result in ineffective contraception due to the missed doses.
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