A client has a new prescription for Enoxaparin. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Enoxaparin is administered subcutaneously, typically in the abdomen to ensure proper absorption. Massaging the injection site should be avoided to prevent bruising or bleeding under the skin.

Correct Answer: C

Rationale: Alprazolam (Xanax) is a medication commonly prescribed to treat anxiety disorders and panic attacks. It belongs to the class of medications known as benzodiazepines, which work by enhancing the effects of gamma-aminobutyric acid (GABA) in the brain to produce a calming effect. Phenytoin is an antiepileptic drug, not typically used for anxiety or panic attacks. Lithium is primarily used to treat bipolar disorder, not anxiety. Spironolactone is a diuretic primarily used to treat conditions like high blood pressure and heart failure, not anxiety or panic attacks.

Correct Answer: A

Rationale: Warfarin is classified as an anticoagulant, which means its primary function is to prevent the formation of blood clots. By inhibiting the synthesis of certain clotting factors in the liver, warfarin reduces the blood's ability to clot, making it an important medication in preventing conditions like strokes and deep vein thrombosis.

Correct Answer: B

Rationale: Hydrochlorothiazide, a diuretic, can cause hypokalemia by promoting potassium excretion. Increasing potassium-rich foods, such as bananas or oranges, can help counteract this effect and maintain electrolyte balance.

Correct Answer: C

Rationale: The correct statement to include when teaching a client about Propranolol is to avoid sudden changes in position. Propranolol, a beta-blocker, can lead to dizziness and lightheadedness, particularly when changing positions. Therefore, clients should be advised to change positions slowly to prevent falls and related injuries.

Correct Answer: A

Rationale: The correct answer is to advise the client to avoid consuming foods high in vitamin K. Warfarin's effectiveness can be affected by vitamin K intake. Clients should maintain a consistent intake of vitamin K and avoid sudden increases in foods high in vitamin K to ensure the medication works properly and consistently.

Correct Answer: B

Rationale: Ciprofloxacin should be infused over 60 minutes to minimize vein irritation and reduce the risk of adverse effects. Administering a concentrated solution can lead to vein irritation and potential complications. Infusing the solution through the primary IV fluid tubing can cause incompatibility issues. Choosing a small peripheral vein may not be suitable for administering Ciprofloxacin, which should be infused through a larger vein to prevent vein irritation and ensure a proper dilution of the medication.

Correct Answer: A

Rationale: The correct instruction for a client prescribed Docusate Sodium is to take the medication with a full glass of water. Docusate sodium is a stool softener, and taking it with water helps to soften the stool and make bowel movements easier. It is important to ensure an adequate intake of fluids when taking stool softeners to prevent constipation.

Correct Answer: A

Rationale: A common adverse effect of Enalapril, an ACE inhibitor, is a persistent dry cough. This occurs due to the accumulation of bradykinin, and it is essential for the client to report this to their healthcare provider to consider alternative medications.