A client has a prescription to receive enoxaparin. The nurse should plan to administer this medication by which route?
1. Oral
2. Intravenous
3. Intramuscular
4. Subcutaneous
Answer: 4. Subcutaneous
Explanation: Enoxaparin is an anticoagulant that is administered by the subcutaneous route. It is used in preventing thromboembolism in selected clients at risk. It also may be administered by the client at home after hospital discharge with follow-up assessments by a home health nurse. It is not administered orally or by the intravenous or intramuscular routes.
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A nurse who works in a critical care setting is caring for an adult female patient who was diagnosed with acute respiratory distress syndrome (ARDS) and promptly placed on positive-end expiratory pressure (PEEP)
When planning this patient's care, what nursing diagnosis should be prioritized? A) Impaired gas exchange B) Risk for aspiration C) Acute pain D) Anxiety
The nurse is identifying nursing diagnosis appropriate for a child with pneumonia. Which diagnosis is the most applicable during the acute phase of the illness?
A) Pain related to swelling of abdominal lymph nodes B) Altered urinary elimination related to hypervolemic state C) Excess fluid volume related to excessive mucus production D) Activity intolerance related to poor oxygen–carbon dioxide exchange
A nurse realizes that the profession of nursing is centuries old, with roots in religion. When did religion begin to affect the development of nursing?
a. in India around 800 to 600 BC b. during the Roman Empire c. during the Middle Ages d. at the time of the Renaissance
A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.)
a. Contact interpreter services to interpret discharge instructions to the patient. b. Provide discharge instructions for the pa-tient that are written in German. c. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them. d. Forego the interpreter because you are just showing him how to change a dressing. e. Give the patient discharge instructions that are written in English.