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.”

Answer and Explanation

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.

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Correct Answer is D

Explanation

Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.

One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.

After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.

Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.

Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.

Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.

A. Weight loss. B. Bruxism. C. Insomnia. D. Confusion. E. Confusion.

Correct Answer is D

Explanation

Confusion is the priority for the nurse to report to the provider because it can be a sign of a serious side effect of citalopram.

Choice A is wrong because weight loss is not mentioned as a serious side effect of citalopram.
Choice B is wrong because bruxism is not mentioned as a serious side effect of citalopram.
Choice C is wrong because insomnia is a common side effect of citalopram but not considered a serious side effect that requires immediate medical attention.

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A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is D

Explanation

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

A nurse is teaching a client about self-administration of enoxaparin.

Which of the following instructions should the nurse include? (Select all that apply.).