A nurse is teaching a client about self-administration of enoxaparin.
Which of the following instructions should the nurse include? (Select all that apply.).
"Insert the entire length of the needle into the skin during injection.”
"Massage the insertion site after injecting the medication.”
"Grasp the skin between the thumb and forefinger while injecting the medication.”
"Alternate injection sites between the sides of the abdomen.”
"Expel the air bubble from the prefilled syringe.”
Correct Answer : A,C,D
When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”
Choice B is wrong because the client should not massage the insertion site after injecting the medication.
Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.
The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Expired medications should not be used and should be disposed of properly. The best way to do this is to return them to the pharmacy for proper disposal.
Choice B is wrong because flushing medications down the toilet can contaminate the water supply and harm the environment.
Choice C is wrong because expired medications should not be placed back in the medication cart as they may accidentally be used.
Choice D is wrong because notifying the provider about expired medications is not necessary as it is the responsibility of the nurse to properly dispose of them.
Correct Answer is B
Explanation
Levothyroxine is a thyroid hormone medicine used to treat hypothyroidism (low thyroid hormone)1.
It works by replacing thyroid hormone that is normally produced by the body.
Cold intolerance is a common symptom of hypothyroidism2, so if the client reports that they are not as cold as they used to be, it indicates that the medication is working and their hormone levels are returning to a healthy range.
Choice A is wrong because constipation is a common symptom of hypothyroidism2, so taking a laxative for constipation does not indicate a therapeutic response to the medication.
Choice C is wrong because weight loss without dieting can be a side effect of taking too much levothyroxine.
Choice D is wrong because sleeping more than usual can be a symptom of hypothyroidism2, so it does not indicate a therapeutic response to the medication.
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