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Author Question: The nurse is preparing to administer enoxaparin 30 mg to a client following a total knee ... (Read 30 times)

SGallaher96

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on: Jul 24, 2018
The nurse is preparing to administer enoxaparin 30 mg to a client following a total knee replacement. The nurse should:
 
  a. administer at a 90-degree angle.
  b. question this prescription.
  c. not use alcohol to prep the injection site.
  d. administer at a 45-degree angle.

Question 2

The nurse would question which of the following prescriptions for a client receiving subcutaneous heparin?
 
  a. discontinue cefotriaxone c. administer 10,000 units of heparin SC
  b. discontinue digoxin d. PTT in the morning


dantucker

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Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: A

Feedback
A Correct: Enoxaparin must be injected at a 90-degree angle for proper absorption.
B Incorrect: This is a standard prescription following joint replacement surgery.
C Incorrect: As with any subcutaneous injection, the site should be prepped with alcohol.
D Incorrect: Just like heparin, enoxaparin must be injected at a 90-degree angle for proper absorption.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Cephalosporins interact with heparin, so this prescription is appropriate.
B Correct: Because of digoxin's positive inotropic action in treating heart failure, this drug should not be discontinued, even though it may decrease the effects of heparin. The heparin dose should be increased to compensate.
C Incorrect: This is a standard prescription for SC heparin.
D Incorrect: This is the lab test used to measure heparin effectiveness.


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SGallaher96

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


dantucker

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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