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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Hypotension following verapamil, a calcium channel blocker, can be managed with IV fluid boluses to support blood pressure.

B. Diphenhydramine treats allergic reactions, not hypotension.

C. Oxygen may be given, but fluids are the priority to restore BP.

D. Positioning legs may help slightly, but fluids directly address the cause.

A. 24 hr urine output 960 mL B. Blood pressure 122/88 mm Hg C. 1+ deep tendon reflexes D. Pupils equal, round, react to light, accommodation

Correct Answer is C

Explanation

A. Output above 30 mL/hr is acceptable and not concerning.

B. A BP of 122/88 is within normal limits.

C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.

D. Normal pupillary findings do not indicate toxicity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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