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.
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Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
Pruritus, or itching, is a common adverse effect of opioid medications like morphine.
Choice B rationale:
Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.
Choice C rationale:
Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.
Choice D rationale:
Cough is not a prominent adverse effect of morphine administered via epidural infusion.
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