A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr.

The client's weight is 121 lb.

Available is enoxaparin 60 mg/0.6 mL.

How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.

Use a leading zero if it applies. Do not use a trailing zero.)

0.5 mL.

0.600 mL.

0.6 mL.

0.8 mL.

Answer and Explanation

The Correct Answer is C

First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.

Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.

Rounded to the nearest tenth, this is 0.6 mL.

Choice A is wrong because it is less than the calculated dose of 0.6 mL.

Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.

Choice D is wrong because it is greater than the calculated dose of 0.6 mL.

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Free Nursing Study Resources

Correct Answer is A

Explanation

This is because pioglitazone can cause fluid retention and edema.

Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.

Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.

Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.

A. Document the administration of the medication. B. Identify the client using two identifiers. C. Compare the amount of medication available to the inventory record. D. Remove the medication from the medication dispensing cabinet. E. Remove the medication from the medication dispensing cabinet.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale:

Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.

Choice B rationale:

Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.

Choice C rationale:

Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.

Choice D rationale:

Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

Correct Answer is B

Explanation

A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?

A nurse is caring for a client who is to start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments?

A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?

A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?

A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?

Heparin Infusion Review. A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?

A nurse is teaching a newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?