A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?

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Question 1 of 5

A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Administer the medication with the needle at a 45 degree angle. Subcutaneous injections should be inserted at 45 to 90 degree angles. Enoxaparin is given in the abdomen, and the Z-track method is for IM injections. Massaging the site of an anticoagulant will increase bruising.

Question 2 of 5

A nurse is preparing to administer 0.9% sodium chloride 750 ml IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many ml/hr? (Round to nearest whole number)

Correct Answer: B

Rationale: 107 ml/hr. Calculation: 750 ml ÷ 7 hr = 107.14 ml/hr, rounded to 107.

Question 3 of 5

A nurse is preparing a change of shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?

Correct Answer: B

Rationale: Situation, background, assessment, and recommendation.

Question 4 of 5

A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings, and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea?

Correct Answer: C

Rationale: The client’s caregiver washes out the feeding bag with warm water once every 24 hr. Feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination.

Question 5 of 5

A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?

Correct Answer: A

Rationale: Advocacy ensures clients’ safety, health and rights.

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