The nurse is preparing to administer dalteparin (Fragmin) to a patient in order to prevent DVT following a hip replacement. When providing this medication to the patient, the nurse will (Select all that apply.)

a. administer intramuscularly.
b. inject slowly.
c. remove needle immediately after injection.
d. rub injection site following administration.
e. alternate injection sites every 24 hours.


ANS: B, E
Dalteparin (Fragmin) should be injected slowly. Injection sites should be alternated every 24 hours. Dalteparin is administered by deep subcutaneous injection, not intramuscularly. Needle should be left in place for 10 seconds after injection. To minimize bruising, do not rub the injection site after completion of the injection.

Nursing

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The nurse reminds the patient who is on Coumadin for the treatment of atrial fibrillation that the ideal is to maintain the international normalized ratio (INR) at between:

a. 1 and 2. b. 2 and 3. c. 3 and 4. d. 4 and 5.

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The heart sound that coincides with the carotid pulse is ________

Fill in the blank(s) with correct word

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