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.)
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Turn the client every 4 hr for 48 hr while on bed rest: Clients should be turned more frequently, typically every 2 hours, to prevent complications like pressure injuries and venous thromboembolism. Additionally, clients are often mobilized early postoperatively to reduce complications.
B. Have the client use an incentive spirometer every 4 hr: Incentive spirometry should be performed more frequently (every 1-2 hours) to prevent atelectasis and improve lung function post-surgery.
C. Instruct the client to bend from the hip when retrieving items from the floor: This motion risks hip dislocation. Clients should be instructed to avoid bending at the hip past 90 degrees.
D. Maintain hip abduction when turning the client. Maintaining hip abduction prevents dislocation of the prosthetic hip joint. This position keeps the hip joint in a neutral and stable alignment.
Correct Answer is B
Explanation
A. Hct: Hematocrit measures red blood cell concentration but is not directly affected by warfarin therapy.
B. INR: The international normalized ratio (INR) is the key lab value to monitor in clients taking warfarin, as it reflects the drug’s effect on blood clotting and helps ensure the dose is therapeutic (target INR typically 2-3 for atrial fibrillation).
C. BUN: Blood urea nitrogen assesses kidney function and is unrelated to warfarin monitoring.
D. LDL: Low-density lipoprotein levels assess cardiovascular risk but are not affected by warfarin.
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