The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ twice daily. The nurse is preparing a preloaded 1 mL syringe labeled, "enox“parin sodium injection, USP 60 mg/0.6 mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["0.8"]
The nurse should administer 0.8 mL of the enoxaparin sodium injection.
Here's th’ breakdown of the calculation:
Prescribed dose: 80 mg
Available medication: 60 mg/0.6 mL
The nurse needs to determine the volume of the available medication that delivers the prescribed dose of 80 mg. We can set up a proportion to find the desired volume (x):
Prescribed dose (mg) : Desired volume (mL) = Concentration (mg/mL) : Available volume (mL)
Plugging in the values:
80 mg : x mL = 60 mg/0.6 mL : 0.6 mL
To isolate x (desired volume), we can cross-multiply:
x mL x (60 mg/0.6 mL) = 80 mg x 0.6 mL
Simplifying the equation
0.6x mL = 48 mg
To find x (desired volume), we can divide both sides by 0.6 mL:
x mL = (48 mg) / (0.6 mL/mL) // Cancel out units (mg/mL)
x = 80 mL
However, the answer needs to be rounded to the nearest tenth since medication dosages are measured precisely.
Therefore, the nurse should administer 0.8 mL of the enoxaparin sodium injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Cheese, milk, and yogurt: These foods are high in calcium and may not be the best choice for a client taking furosemide, as they can contribute to calcium levels and potentially exacerbate hypercalcemia, which is a risk with loop diuretic use.
B) Bananas, oranges, and peaches: This is the correct response. These fruits are rich in potassium, which is often depleted in clients taking loop diuretics like furosemide. Encouraging foods high in potassium can help replenish electrolytes and prevent hypokalemia.
C) Pasta, cereal, and bread: While these foods are generally well-tolerated and can provide carbohydrates for energy, they do not specifically address the electrolyte imbalances associated with loop diuretic use.
D) Liver, beef, and chicken: These foods are good sources of protein but do not directly address the electrolyte imbalances associated with loop diuretic use.
Therefore, encouraging the client to consume foods rich in potassium, such as bananas, oranges, and peaches, can help offset the potassium loss caused by furosemide and mitigate the risk of hypokalemia.
Correct Answer is D
Explanation
- pH: Calcium acetate is not directly related to changes in blood pH. Therefore, monitoring pH levels would not indicate the effectiveness of the medication for CKD.
B) Calcium: Calcium levels may be affected by calcium acetate, but the primary goal of using calcium acetate in CKD is to reduce phosphate levels, not calcium levels. Therefore, monitoring calcium levels would not directly indicate the effectiveness of the medication.
C) Potassium: Calcium acetate is not typically used to affect potassium levels. Monitoring potassium levels would not indicate the effectiveness of calcium acetate for CKD.
D) Phosphate: This is the correct answer. Calcium acetate is a phosphate binder commonly used in CKD to help lower elevated phosphate levels. A decrease in phosphate levels in the blood would indicate that the medication is having the desired effect in controlling phosphate levels, which is important in managing CKD and preventing complications associated with hyperphosphatemia. Therefore, monitoring phosphate levels is essential to assess the effectiveness of calcium acetate therapy in CKD.
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