A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

"Ensure that the air bubble remains in the syringe."

"Rub the site after injecting the medication."

"Inject the medication into the lateral thigh."

"Release the skin fold before injecting the medication."

Answer and Explanation

The Correct Answer is A

The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.

B-Avoid rubbing a sit may increase the risk of bleeding /irritation

C-The injection is made into the anterolateral or posterolateral aspect of the thigh

D-The skin should not be released before injection as the medication may be injected into the muscle

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Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

A. Dry cough B. Oral candidiasis C. Black stools D. Tardive dyskinesia

Correct Answer is D

Explanation

metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.

A-ACEIS, ARBS cause angioedema and persistent dry cough

B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis

C-anticoagulants can cause black stools which is a sign of upper GI bleeding.

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A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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