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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

A. "Ringing in the ears is an expected adverse effect of this medication." B. "Diarrhea is a common adverse effect of this medication? C. "Notify your provider if you develop a fever while taking this medication." D. "You might experience weight loss while taking this medication”

Correct Answer is C

Explanation

Choice A rationale:

Ringing in the ears is not typically associated with clozapine.

Choice B rationale:

Diarrhea is not a common adverse effect of clozapine.

Choice C rationale:

Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.

Choice D rationale:

Weight loss is not a common adverse effect of clozapine.

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A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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