A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)
- First, convert the client's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kg.
- Next, calculate the total daily dosage in milligrams: 1.5 mg/kg/day × 80 kg = 120 mg/day.
- Since the medication is available in a concentration of 120 mg/0.8 mL, the client requires a full syringe of 0.8 mL for their daily dosage.
56. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. The nurse should perform which intervention in the immediate management of the client?
Apply oxygen via nasal cannula and titrate to keep oxygen saturation above 93%.
Initiate dim lighting, lower alarm volumes, and control traffic in and out of the room area.
Determine the presence of ST-elevations or non-ST-elevations on electrocardiogram.
Verify troponin level assessments are scheduled every 3-6 hours for a series of three.
The Correct Answer is A
A. Apply oxygen via nasal cannula and titrate to keep oxygen saturation above 93%: Administering oxygen helps ensure adequate oxygenation to the heart tissue, which is essential in managing potential acute coronary syndrome symptoms, especially with sudden chest pain.
B. Initiate dim lighting, lower alarm volumes, and control traffic in and out of the room area: While this might improve the client's environment, it does not address the immediate need for assessing and managing potential acute coronary syndrome.
C. Determine the presence of ST-elevations or non-ST-elevations on electrocardiogram: Although this is important, oxygen therapy should be initiated first to stabilize the client while further diagnostic tests are performed.
D. Verify troponin level assessments are scheduled every 3-6 hours for a series of three: This is part of ongoing monitoring and not the immediate management of acute symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Avoiding stimulation of the breasts and wearing a tight bra helps to decrease milk production and manage engorgement for clients who are bottle-feeding. This approach helps to prevent further stimulation that could exacerbate engorgement.
B. Taking a prescribed analgesic and exposing breasts to air may provide temporary relief but does not address the underlying issue of managing engorgement for a bottle-feeding client.
C. Placing warm packs on the breasts can increase milk production and is not appropriate for managing engorgement in a bottle-feeding client, where the goal is to reduce milk supply.
D. Expressing a small amount of breast milk by hand can worsen engorgement and is not recommended for bottle-feeding clients who need to reduce milk production.
Correct Answer is D
Explanation
A. Every 1 hour for 2 hours is not frequent enough for monitoring blood pressure immediately after a large fluid removal. More frequent monitoring is needed to detect any complications.
B. Every 5 minutes for one hour is excessively frequent for routine monitoring after a paracentesis unless there are significant concerns.
C. Every 5 minutes for 30 minutes, then every 4 hours thereafter is not adequate for post-procedure monitoring. More frequent initial assessments are required.
D. Every 15 minutes for one hour, then every 1 hour for 2 hours is appropriate for monitoring blood pressure after a large fluid removal. This schedule helps to detect any potential complications from the procedure, such as hypotension.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.