A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?

Aspirate before administering the medication.

Withhold the medication for an elevated platelet count.

Monitor INR levels.

Validate the dosage with a second nurse.

Answer and Explanation

The Correct Answer is D

A. Aspirating is not necessary for subcutaneous injections, as it is not a deep intramuscular injection.

B. Withholding heparin for an elevated platelet count is unnecessary unless there is a confirmed heparin-induced thrombocytopenia (HIT).

C. INR is not used to monitor heparin therapy. Heparin is monitored using aPTT (activated partial thromboplastin time) or anti-Xa levels.

D. It is standard practice to validate heparin dosage with a second nurse to ensure safety due to the high risk of bleeding associated with this medication.

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Correct Answer is A

Explanation

A. Rhinitis (inflammation of the nasal passages) is a common side effect of intranasal calcitonin, and alternating nares can reduce this adverse effect.

B. Esophagitis is a potential side effect with oral calcitonin but not typically with the intranasal form.

C. Warmth of the face is not a common side effect related to calcitonin use.

D. Dyspnea on exertion is not a common side effect of intranasal calcitonin.

A. 1300 B. 1100 C. 1700 D. 2200

Correct Answer is A

Explanation

A. At a rate of 100 mL/hr, a 1,000 mL bag will infuse over 10 hours. Starting at 0700, the infusion will complete at 1700, but the nurse typically hangs a new bag 1 hour before completion to avoid delays. 1300 is 6 hours in, leaving 400 mL; it allows enough time to prepare and change bags proactively.

B. 1100 is too early.

C. 1700 is too late – the bag would be empty by then.

D. 2200 is unrelated to the infusion timeline.

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A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is taking intranasal calcitonin to alternate nares daily when administering the medication. Which of the following adverse effects should the nurse expect to improve following the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?

Correct Answer is A

Explanation

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