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A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous to a client who weighs 187 lb. Available is enoxaparin 60 mg/0.6 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 ["1.3"]

Calculation:

Convert weight to kilograms.

Weight (kg) = 187 lb / 2.2 lb/kg

= 85 kg

Calculate the prescribed dose in milligrams.

Prescribed dose (mg) = 1.5 mg/kg × 85 kg

= 127.5 mg

Determine the concentration of the available enoxaparin.

Concentration = 60 mg / 0.6 mL

= 100 mg/mL

Calculate the volume to administer.

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

= 127.5 mg / 100 mg/mL

= 1.275 mL

Round the answer to the nearest tenth.

= 1.3 mL

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Correct Answer is D

Explanation

A. Medication name: The prescription already includes the name hydrocortisone acetate cream, so this element is present and does not require clarification.

B. Time/frequency: The frequency is clearly stated as “twice a day,” so this component of the prescription is already complete.

C. Route: The route “apply topically” is specified in the prescription, meaning no additional clarification is needed for administration method.

D. Dose/strength: The prescription does not specify the strength of the hydrocortisone acetate cream (e.g., 0.5%, 1%, 2.5%). Since multiple strengths exist and incorrect dosing could affect efficacy or increase side effects, the provider must clarify the dose/strength before administration.

A. Place the medication under the tongue. B. Take the medication with food. C. Chew the medication thoroughly. D. Drink 8 oz of water with the medication.

Correct Answer is A

Explanation

A. Place the medication under the tongue. Sublingual (SL) nitroglycerin is designed to dissolve quickly under the tongue for rapid absorption into the bloodstream. This route bypasses the gastrointestinal system and allows for fast relief of chest pain due to angina.

B. Take the medication with food. Nitroglycerin SL should not be taken with food, as food is not necessary and may delay the absorption if it interferes with proper placement under the tongue.

C. Chew the medication thoroughly. Chewing SL nitroglycerin is inappropriate. It disrupts the sublingual delivery system, reducing effectiveness and delaying absorption.

D. Drink 8 oz of water with the medication. Drinking water with SL nitroglycerin is not recommended because swallowing the tablet reduces its effectiveness. The tablet must dissolve under the tongue without being washed down.

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A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous to a client who weighs 187 lb. Available is enoxaparin 60 mg/0.6 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.)

Nursing Test Bank

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