A healthcare professional is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of Enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the healthcare professional plan to take?

Correct Answer: B

Rationale: The correct action the healthcare professional should plan to take is to insert the needle completely into the client's tissue (Option B). This is the correct procedure for administering subcutaneous injections like enoxaparin. By ensuring the needle is fully inserted into the subcutaneous tissue, the medication can be delivered effectively and safely. Option A is incorrect because expelling the air bubble from the prefilled syringe is not necessary for subcutaneous injections and could lead to medication wastage. Option C is incorrect as the injection should be administered in the abdomen or upper thigh, not specifically in the thigh. Option D is also incorrect as aspirating after inserting the needle is not recommended for subcutaneous injections as there is no need to check for blood return. In an educational context, it is crucial for healthcare professionals to understand the correct techniques for administering various medications to ensure patient safety and optimal therapeutic outcomes. Proper training and knowledge of medication administration procedures are essential skills for healthcare providers to master in order to deliver quality patient care.

Correct Answer: C

Rationale: In the scenario described, the client is exhibiting signs of fluid overload, which can occur during blood transfusion. Furosemide, a loop diuretic, is commonly prescribed in such situations to help relieve manifestations of circulatory overload by promoting diuresis and reducing fluid volume. Therefore, the correct choice is C - Furosemide.

Correct Answer: C

Rationale: The correct answer is bone marrow suppression (Choice C). Methotrexate can lead to bone marrow suppression, resulting in adverse effects such as anemia, leukopenia, and thrombocytopenia. Monitoring for signs of decreased blood cell counts is essential to prevent complications and adjust treatment as needed.

Correct Answer: C

Rationale: The correct instruction for a client starting clonidine therapy for hypertension is to avoid driving until their reaction to the medication is known. Clonidine can cause drowsiness, so engaging in activities like driving that require alertness should be avoided until the individual understands how the medication affects them.

Correct Answer: B

Rationale: In pharmacology, understanding the implications of medication administration and patient education is crucial. In the case of furosemide, a loop diuretic, the correct instruction to include is to eat a diet high in potassium (Option B). Furosemide is a potent diuretic that can lead to potassium loss through increased urine output. Potassium is an essential electrolyte for proper cardiac and muscle function, and a deficiency can result in serious complications like cardiac arrhythmias. Option A is incorrect because furosemide is usually recommended to be taken in the morning to prevent disruptions in sleep due to increased urination during the night. Option C is incorrect as magnesium is not a major concern with furosemide therapy. Option D is also incorrect because while fluid intake may need to be monitored, restricting it to 1 liter per day is not a general guideline for furosemide use. Educationally, this question highlights the importance of understanding the side effects and necessary precautions associated with specific medications. It emphasizes the need for patient education regarding dietary considerations to prevent adverse effects and ensure optimal therapeutic outcomes when taking furosemide. Nurses play a vital role in educating patients on medication management to promote safe and effective treatment.