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A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["119"]

Convert weight to kg:

175lb÷2.2=79.54kg

Multiply weight by dosage:

1.5mg/kg×79.54=119.31mg

Round to the nearest whole number: 119 mg

Correct answer: 119mg

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Correct Answer is C

Explanation

A. Start the prescribed antibiotic: There is no indication of infection in the current clinical findings; antibiotics are typically used to treat bacterial infections, which are not yet evident.
B. Discontinue nasogastric tube: The nasogastric tube should remain in place as it helps relieve the symptoms of small bowel obstruction (e.g., vomiting and bloating).
C. Reinforce preoperative teaching: The client is on NPO status, which may suggest preparation for a surgical intervention to address the obstruction. Reinforcing preoperative teaching would be beneficial to ensure the client understands the procedure.
D. Provide the client with ice chips: The client is on NPO status, and consuming food or fluids is contraindicated due to the potential for aspiration or worsening of the condition (e.g., bowel obstruction or pancreatitis).

A. Pain level B. Social history C. Skin findings D. Lipase level E. WBC count F. Abdominal findings

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Pain level:

Small bowel obstruction: The client reports mid-abdominal pain, which is characteristic of small bowel obstruction as the pain is often crampy and located around the abdomen.
Acute pancreatitis: Abdominal pain is also a common symptom of acute pancreatitis, typically described as severe and persistent.

Social history:

Small bowel obstruction: Alcohol consumption is not a typical cause of obstruction.
Acute pancreatitis: Chronic alcohol use is a major risk factor for acute pancreatitis.

Skin findings:

Small bowel obstruction: Skin findings are usually unaffected.
Acute pancreatitis: In severe cases, pancreatic enzymes can leak into the skin, leading to ecchymosis (e.g., Grey Turner's or Cullen's sign). While jaundice can occur in acute pancreatitis due to bile duct obstruction, its absence does not rule out the condition.

Lipase level:

Small bowel obstruction: Lipase is generally normal.
Acute pancreatitis: Elevated lipase levels are highly indicative of acute pancreatitis.

WBC count:

Small bowel obstruction: A mild increase in WBC may occur due to bowel distension. The client’s WBC count is 9,000/mm³, which is within the normal range.
Acute pancreatitis: WBC levels are often elevated due to inflammation.

Abdominal findings:

Small bowel obstruction: Tenderness and high-pitched bowel sounds are typical signs.
Acute pancreatitis: Abdominal tenderness can also be present in acute pancreatitis, but high-pitched bowel sounds are more specific to small bowel obstruction.

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A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Correct Answer is C

Explanation

The nurse is assisting with the care of a client. Exhibits For each finding, click to specify if the finding is consistent with small bowel obstruction or acute pancreatitis. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

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