A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis. Available is enoxaparin 100 mg/ml. How many mL should the nurse administer? (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 ["0.4"]

To calculate the mL of enoxaparin to administer, you can use the following formula:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

In this case, the dose is 40 mg, and the concentration is 100 mg/mL:

Volume (mL) = 40 mg / 100 mg/mL = 0.4 mL

So, the nurse should administer 0.4 mL of enoxaparin.

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Free Nursing Study Resources

Correct Answer is C

Explanation

a. Docusate sodium 200 mg PO at bedtime
● This prescription is appropriate for a stool softener (Docusate sodium) commonly used to prevent or treat constipation. It's a standard dosage and administration for this type of medication and doesn't require further clarification.

b. Meloxicam 15 mg PO daily
● Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. This prescription indicates a standard dosage and administration for this medication and doesn't require further clarification.

c. Regular insulin 8 units subcutaneous before mealsRegular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level.A prescription for "before meals" without a sliding scale or specific blood glucose parameters is incomplete and potentially dangerous The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.

d. Fentanyl 25 mcg/hr transdermal patch
● Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.

A. Store the medication at room temperature following reconstitution B. Use 0.9% sodium chloride solution as a diluent C. Discard any remaining medication after 10 days D. Roll the vial gently in hands to mix the medication

Correct Answer is C

Explanation

a. Store the medication at room temperature following reconstitution: This option is incorrect. While it provides information about the storage of the medication after reconstitution, it doesn't pertain to the reconstitution process itself. Storage information is essential but not part of the reconstitution process.

b. Use 0.9% sodium chloride solution as a diluent: This option is incorrect. The label instructions mention adding water for reconstitution, not sodium chloride solution. Using the wrong diluent can result in incorrect drug concentrations and potential harm to the patient.

c. Discard any remaining medication after 10 days: This option is correct. The label clearly states that the reconstituted medication should be discarded after 10 days. This is important information for safe medication administration.

d. Roll the vial gently in hands to mix the medication: This option is incorrect. The label instructions specify shaking vigorously to wet the powder and then adding the remaining water, followed by vigorous shaking. Rolling the vial gently is not mentioned in the label instructions.

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A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis. Available is enoxaparin 100 mg/ml. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse is preparing to administer acetaminophen 650 mg PO to a client for pain. Available is acetaminophen liquid 160 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse is preparing to administer dextrose 5% in water 1,000 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer amoxicillin 775 mg PO. Available is amoxicillin oral suspension 400 mg/5 mL. How many ml should the c administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

A nurse is preparing to administer 0.9% sodium chloride 1,500 mL. IV to be infused over 12 hr. The nurse should set the IV pump to deliver how many ml/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)