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.)
The Correct Answer is ["0.6"]
Calculation: 1 mg/kg dose x 121 lb (weight) = 55 kg (approximately) 55 kg x 1 mg = 55 mg (dose required) Enoxaparin 60 mg/0.6 mL = 100 mg/mL Therefore, 55 mg / 100 mg/mL =
0.55 mL (rounded to 0.6 mL).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale: Polypharmacy, the use of multiple medications, increases the risk of adverse drug reactions due to potential drug interactions and increased complexity in medication management for older adults.
Choice B rationale: The absorption rate generally decreases in older adults.
Choice C rationale: Multiple health problems can alter the pharmacokinetics and pharmacodynamics of drugs.
Choice D rationale: Decreased renal function can impair the excretion of drugs and their metabolites, leading to accumulation and toxicity.
Choice E rationale: Body fat percentage might impact drug distribution but is not directly a risk factor for adverse drug reactions.
Correct Answer is C
Explanation
Choice A rationale: While increased blood pressure can occur in various conditions, it might not specifically indicate anaphylaxis to penicillin.
Choice B rationale: Hypertonia might not directly correlate with anaphylaxis and could be caused by other factors.
Choice C rationale: Wheezing is a critical sign of anaphylaxis, a severe allergic reaction to penicillin. Reporting wheezing to the provider is crucial for immediate intervention to prevent further complications associated with anaphylaxis.
Choice D rationale: Urinary retention is not a typical manifestation of anaphylaxis to penicillin and might not be directly linked to the allergic reaction.
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