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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 B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.

Choice B rationale:

Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.

Choice C rationale:

Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.

Choice D rationale:

Headaches can have multiple causes and are not a direct sign of fluid volume deficit.

A. Morphine tablet B. Fentanyl transmucosa C. Lidocaine patch D. Naloxone IV

Correct Answer is B

Explanation

Choice A rationale:

Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.

Choice B rationale:

Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.

Choice C rationale:

A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.

Choice D rationale:

Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.

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

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