A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
Insert the syringe needle halfway into the client's skin.
Expel the air bubble from the syringe prior to injection.
Administer the medication into the client's muscle.
Apply firm pressure to the injection site following administration.
The Correct Answer is B
Choice A rationale:
Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.
Choice B rationale:
Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.
Choice C rationale:
Enoxaparin is administered subcutaneously, not into muscle tissue.
Choice D rationale:
Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Choice A rationale:
Hot flashes are a common adverse effect of tamoxifen, which is often used to treat hormone receptor-positive breast cancer.
Choice B rationale:
Constipation is not typically associated with tamoxifen.
Choice C rationale:
Urinary frequency is not typically associated with tamoxifen.
Choice D rationale:
Tinnitus is not a common adverse effect of tamoxifen.
Correct Answer is A
Explanation
Choice A rationale:
Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.
Choice B rationale:
A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.
Choice C rationale:
Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.
Choice D rationale:
Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.
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