The nurse is teaching a client how to self-administer low-molecular-weight heparin subcutaneously. Which instruction should the nurse include?
Massage the injection site to increase absorption.
Rotate injections between the abdomen and gluteal areas.
Expel the air in the prefilled syringe prior to injection.
Inject in abdominal area at least 2 inches from the umbilicus.
The Correct Answer is D
Choice A Reason: Massaging the injection site can cause bruising and bleeding, and is not recommended for subcutaneous heparin injections.
Choice B Reason: Rotating injections between different body sites can increase the risk of hematoma formation and skin irritation, and is not advised for subcutaneous heparin injections.
Choice C Reason: Expelling the air in the prefilled syringe can result in a loss of medication dose, and is not necessary for subcutaneous heparin injections.
Choice D Reason: Injecting in the abdominal area at least 2 inches from the umbilicus is the correct technique for subcutaneous heparin injections, as it reduces the risk of injury to blood vessels and nerves, and ensures consistent absorption of the medication.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Regular exercise is a good lifestyle modification, but it is not as important as smoking cessation. Exercise can help lower blood pressure, cholesterol, and weight, but it cannot reverse the damage caused by smoking.
Choice B: Stress reduction is a good lifestyle modification, but it is not as important as smoking cessation. Stress can trigger or worsen cardiac problems, but it cannot cause them as directly as smoking.
Choice C: Smoking cessation is the most important lifestyle modification because smoking is a major risk factor for cardiac disease. Smoking damages the blood vessels, increases blood pressure, reduces oxygen supply, and promotes clot formation.
Choice D: Low-fat diet is a good lifestyle modification, but it is not as important as smoking cessation. A low-fat diet can help lower cholesterol and prevent plaque buildup, but it cannot undo the effects of smoking.
Correct Answer is ["1"]
Explanation
To find the number of tablespoons, the nurse needs to convert the dose from milligrams (mg) to milliliters (mL), and then from milliliters to tablespoons. One tablespoon is equal to 15 mL.
The bottle label shows that 30 mg of dextromethorphan is equivalent to 15 mL of oral suspension. Therefore, the client needs to take 15 mL of oral suspension to get 30 mg of dextromethorphan.
Since one tablespoon is equal to 15 mL, the client needs to take one tablespoon of oral suspension with each dose.
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