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.)

Answer and Explanation

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).

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale: Alopecia (hair loss) is not a common side effect associated with paroxetine use.
Choice B rationale: Drowsiness is a common adverse effect of paroxetine, a selective serotonin reuptake inhibitor (SSRI) antidepressant. Educating the client to monitor for this potential side effect is important.
Choice C rationale: Peripheral edema is an uncommon side effect of paroxetine use.
Choice D rationale: Tinnitus is not typically associated with paroxetine use.

A. Presence of pedal pulses bilaterally B. Decreased INR C. Reduced calf circumference D. Platelets within the expected reference range

Correct Answer is C

Explanation

Choice A rationale: Presence of pedal pulses bilaterally is a normal finding and does not reflect the status of the blood clot.
Choice B rationale: Decreased INR is a measure of how quickly the blood clots and is used to monitor warfarin therapy, not heparin therapy.
Choice C rationale: A reduced calf circumference indicates that the swelling caused by the blood clot has decreased, which means that the heparin therapy is working.
Choice D rationale: Platelet levels are not the primary indicator of the effectiveness of heparin therapy for deep-vein thrombosis.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?

Correct Answer is C

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

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 providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?

A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching?

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

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?