A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?
"Notify your provider if you have dark stools."
"Administer this medication into a large muscle."
"The purpose of the medication is to decrease bleeding!
"Inject the needle at a 15-degree angle."
The Correct Answer is A
A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.
B. Enoxaparin should be injected subcutaneously, not into a muscle.
C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.
D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While furosemide may lower blood pressure, weight loss due to fluid reduction is a more direct indicator of its therapeutic effect.
B. Furosemide promotes diuresis, and weight loss is a sign of decreased fluid retention, indicating effectiveness in treating heart failure.
C. An increased heart rate is not a desired effect and may indicate volume depletion or stress.
D. Distended neck veins indicate fluid overload and would not suggest a therapeutic effect.
Correct Answer is A
Explanation
A. Methotrexate is a chemotherapy agent and can be toxic. A protective gown should be worn to protect against exposure.
B. Gloves should also be worn, but a gown is necessary for additional protection.
C. Controlled ventilation is not necessary when administering an oral tablet of methotrexate.
D. An N95 mask is not required unless handling an aerosolized form of methotrexate, which is not the case here.
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