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Practice Question

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for enoxaparin. Which of the following instructions should the nurse include in the teaching?

Answer Choices:

Correct Answer:

Have protamine available in case of overdose.

Rationale:

🟩 Protamine sulfate is the reversal agent for enoxaparin, a low-molecular-weight heparin, and must be available in case of bleeding or overdose.

🟩 Enoxaparin increases the risk of hemorrhage, so ensuring antidote availability is an essential safety action.

🟩 Protamine binds with enoxaparin to neutralize its anticoagulant effect and prevent life-threatening complications.

🟩 This instruction reinforces safe medication administration practices when handling anticoagulants.

❌ Incorrect Options

❌ Injecting enoxaparin into a large muscle is wrong; it must be given subcutaneously.

❌ Monitoring potassium is not required; enoxaparin affects bleeding, not potassium balance.

❌ Do not expel the air bubble; it creates an air lock to reduce bruising.

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This question is from ☑️Custom Pharmacology II class 62 Final Exam KL LM which contains 57 questions.

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A nurse is monitoring a client's IV site. The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.)

Answer Choices:

A. Damp dressing over the insertion site
B. Streak formation along the vein
C. Warmth at insertion site
D. Blistering around the insertion site
E. Erythema at the insertion site
A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

Answer Choices:

A. Always wipe from the outer to the inner canthus when wiping away secretions.
B. Use a sterile glove and applicator to apply the antibiotic ointment.
C. Keep your eye open for 30 sec after instilling the ointment.
D. Apply the ointment in a thin line into the conjunctival sac.
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take

Answer Choices:

A. Confirm with the client that the reaction he had was truly anaphylaxis.
B. Administer the medication.
C. Request that the surgeon prescribe a different antibiotic.
D. Ask the provider to prescribe diphenhydramine as a precaution.
From Exam
☑️Custom Pharmacology II class 62 Final Exam KL LM

57 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Pharmacology
  • Answer Choices: 4
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