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

Administer the medication into the client's muscle.

Apply firm pressure to the injection site following administration.

Insert the syringe needle halfway into the client's skin.

Expel the air bubble from the syringe prior to injection

Answer and Explanation

The Correct Answer is D

A. Administer the medication into the client's muscles.
Explanation: This is incorrect because enoxaparin is usually administered subcutaneously, not into the muscle.
B. Apply firm pressure to the injection site following administration.
Explanation: This is incorrect because while applying gentle pressure after a subcutaneous injection is common practice, it is not specific to enoxaparin.
C. Insert the syringe needle halfway into the client's skin.
Explanation: This is incorrect because the needle should be inserted fully into the subcutaneous tissue, not just halfway, for proper administration of enoxaparin.
D. Expel the air bubble from the syringe prior to injection.
Explanation: This is the correct action. Expelling air bubbles from the syringe prior to injection helps ensure accurate dosing and prevents air from being injected into the subcutaneous tissue.
When administering enoxaparin (low molecular weight heparin) subcutaneously, it's important to expel any air bubbles from the syringe before injection. Air bubbles can cause discomfort and inaccuracies in dosage. The nurse should gently tap the syringe to move air bubbles to the top and then push the plunger slightly to expel the air. The other options are not correct procedures for administering enoxaparin. It is typically injected into the subcutaneous tissue, not a muscle, and firm pressure is not typically applied after administration. The needle is fully inserted into the skin, not halfway.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. For assessing pain in a 4-year-old child following an orthopedic procedure, the nurse should use the FACES pain scale.
The FACES pain scale uses a series of faces with varying expressions, from smiling to crying, to help children express their level of pain. Children are asked to point to the face that best matches how they feel. This scale is particularly useful for young children who may not have the verbal skills to describe their pain accurately using words or numbers.
B. Word-graphic
Explanation: The word-graphic pain scale typically uses a combination of words and drawings to assess pain, making it more suitable for children who are slightly older and can understand simple words and concepts.
C. Numeric
Explanation: The numeric pain scale involves asking the child to rate their pain on a scale from 0 to 10. This scale is more appropriate for older children who can understand and assign numerical values to their pain intensity.
D. CRIES
Explanation: The CRIES pain scale is often used for assessing pain in newborns and infants up to 6 months old. It focuses on crying, oxygen saturation, vital signs, and facial expressions.

A. Peanuts B. Milk C. Shellfish D. Eggs

Correct Answer is D

Explanation

A. Peanuts:
While peanut allergies can be severe and life-threatening, they are not a contraindication to receiving the influenza vaccine. Influenza vaccines are not made with peanut-derived ingredients and do not pose a risk to individuals with peanut allergies.
B. Milk:
Milk allergies are not a contraindication to receiving the influenza vaccine. Influenza vaccines are typically free of milk-derived ingredients and do not contain significant amounts of milk proteins that would trigger an allergic reaction in individuals with milk allergies.
C. Shellfish:
Shellfish allergies are not a contraindication to receiving the influenza vaccine. Influenza vaccines are not derived from shellfish and do not contain shellfish proteins that could cause an allergic reaction in individuals with shellfish allergies.

D. Eggs:
This is the correct choice. In the past, some influenza vaccines were prepared using egg-based methods, which could pose a risk to individuals with severe egg allergies. However, most modern influenza vaccines, including those approved for administration in the United States, have extremely low egg protein content. The majority of individuals with egg allergies can safely receive the influenza vaccine, but those with a history of severe egg allergy may still need to consult with their healthcare provider before vaccination.

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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 caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?

Correct Answer is A

Explanation

A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?

Correct Answer is D

Explanation

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