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

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Administer the medication into the abdomen. Enoxaparin is a low molecular weight heparin that is commonly administered subcutaneously. The abdomen is a preferred site for subcutaneous injections due to the higher number of subcutaneous tissue layers, which allows for better absorption and decreases the risk of hitting underlying muscle or blood vessels. This route also provides a larger surface area for medication absorption. Option A) Massage the injection site after administration is incorrect because massaging the site can cause bruising, irritation, or tissue damage, which is not recommended after administering anticoagulants like Enoxaparin. Option B) Aspirate before injecting the medication is not necessary for subcutaneous injections like Enoxaparin. Aspiration is typically done for intramuscular injections to ensure the needle is not in a blood vessel. Option D) Administer the medication via intramuscular injection is incorrect because Enoxaparin should not be given intramuscularly due to the risk of hematoma formation and inconsistent absorption. Educationally, understanding the rationale behind the route of administration for medications like Enoxaparin is crucial for safe and effective nursing practice. It ensures proper drug delivery, minimizes complications, and promotes patient comfort and compliance.

Correct Answer: B

Rationale: The correct answer is to 'Avoid potassium-rich foods.' Spironolactone is a potassium-sparing diuretic, and consuming foods high in potassium can lead to hyperkalemia, a potential side effect of the medication. Therefore, the client should be advised to avoid potassium-rich foods to prevent complications.

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: The correct answer is B. Loperamide can cause drowsiness and dizziness, so clients should avoid activities that require alertness until they know how the medication affects them. Taking the medication with a full glass of water can help with absorption. Increasing high-fiber foods is not directly related to Loperamide, and black, tarry stools are not expected side effects of this medication.