When administering subcutaneous enoxaparin 40 mg using a prefilled syringe of Enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty, what action should the nurse plan to take?

Correct Answer: B

Rationale: When administering enoxaparin via a prefilled syringe for deep subcutaneous injection, the nurse should insert the needle completely into the client's tissue. This ensures proper delivery of the medication and adherence to the correct administration technique, promoting optimal therapeutic effects and reducing the risk of complications.

Correct Answer: C

Rationale: The client's symptoms indicate circulatory overload, which can occur during blood transfusions. Furosemide, a loop diuretic, is commonly prescribed in such cases to help relieve manifestations of circulatory overload by promoting diuresis and reducing fluid volume. Epinephrine is used for severe allergic reactions, lorazepam for anxiety or seizures, and diphenhydramine for mild allergic reactions or as a sedative.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Bone marrow suppression. Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used to treat Rheumatoid Arthritis. One of the most significant adverse effects of methotrexate is bone marrow suppression, which can lead to decreased production of blood cells (anemia, leukopenia, thrombocytopenia). Monitoring for signs of infection, anemia, and easy bruising is crucial when a patient is on methotrexate therapy. Option A) Insomnia is incorrect because methotrexate is not known to cause insomnia as an adverse effect. Option B) Hypertension is also incorrect because methotrexate does not typically cause hypertension. Option D) Constipation is not a common adverse effect of methotrexate either. Educationally, understanding the potential adverse effects of medications is essential for nurses to provide safe and effective care to their patients. Monitoring for specific adverse effects based on the medication prescribed can help prevent complications and improve patient outcomes. In the case of methotrexate, being vigilant for bone marrow suppression is critical in ensuring the patient's safety and well-being.

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 it is important for the client to refrain from activities that require alertness until they are aware of how the medication affects them. This precaution ensures the client's safety and the safety of others while taking the medication.

Correct Answer: B

Rationale: The correct instruction for a client taking furosemide is to eat a diet high in potassium. Furosemide is a loop diuretic that can lead to potassium loss, potentially causing hypokalemia. Consuming foods rich in potassium can help maintain normal potassium levels in the body and counteract the potential side effect of furosemide.