The nurse evaluates the patient's ability to self-administer a subcutaneous injection of the anticoagulant enoxaparin (Lovenox). What action by the patient indicates a need for additional patient teaching?
a. Insert the needle at a 45- to 90-degree an-gle.
b. Massage the area after performing the in-jection.
c. Administer the injection without aspirat-ing.
d. Inject at least 7.6 cm (3 inches) from the umbilicus.
B
The nurse wants the patient to avoid massaging the injection site after administering enoxaparin to prevent the formation of large hematomas and decrease the risk of additional bleeding and tissue damage. The nurse instructs the patient to inject the enoxaparin and withdraw the needle without massaging the site afterward. If the patient massages the area to dispel pain or discom-fort, he or she reports this to the nurse or provider because it is an unusual finding. The patient demonstrates proper injection technique with injections at 45 to 90 degrees, avoiding aspiration and injecting at least 2 inches away from the umbilicus.
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A. Administer morphine (Astramorph). B. Give an oral sucrose solution. C. Provide nonnutritive sucking. D. Swaddle and cuddle the infant.
Clients with chronic, open-angle glaucoma should be instructed by the nurse to:
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The nurse determines that the client understands an important principle of weight reduction when the client makes which statement?
1. "Obesity is closely linked with health risks, such as diabetes and hypertension." 2. "The most common cause of obesity is genetically linked hyperthyroidism." 3. "Everyone in my family is overweight; there is nothing I can do about my obesity." 4. "Lifestyle changes are not effective in weight loss if an individual's history includes obesity."
During the interview process, you should
A) make yourself comfortable. B) ask for a beverage. C) make good eye contact. D) interrupt to ask questions.