A expel the air bubble from the prefilled syringe

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A. Expel the air bubble from the prefilled syringe before injecting. B. Insert the needle completely into the client's tissue. C. Administer the injection in the client's thigh. D. Aspirate carefully after inserting the needle into the client's skin. A. T he nurse should not expel the air bubble in the prefilled syringe prior to injection because the medication has been premeasured, and expelling the air could cause medication to be lost. An exception would be if the dosage needed to be adjusted prior to the injection.
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B. CORRECT: The nurse should inject the needle on the prefilled syringe completely when administering enoxaparin in order to administer the medication by deep subcutaneous injection. C. A deep subcutaneous injection should be administered into the subcutaneous tissue of the abdomen, at least 2 inches away from the umbilicus. D. T he nurse should not aspirate when administering enoxaparin or other heparin products subcutaneously. A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? A. Vitamin K1 B. Atropine C. Protamine D. Calcium gluconate A. Vitamin K1 is used to reverse the effects of warfarin. B. A tropine is used to reverse bradycardia caused by beta adrenergic blockers. C. CORRECT: Protamine reverses the anticoagulant effect of heparin. D. C alcium gluconate is used to treat magnesium sulfate toxicity. A nurse is planning to administer IV alteplase to a client who is demonstrating manifestations of a massive pulmonary embolism. Which of the following interventions should the nurse plan to take? A. Administer IM enoxaparin along with the alteplase dose. B. Hold direct pressure on puncture sites for up to 30 min. C. Administer aminocaproic acid IV prior to alteplase infusion. D. Prepare to administer alteplase within 8 hr of manifestation onset. A. E noxaparin is only available in a subcutaneous form. Subcutaneous and IM injections and other punctures should be avoided due to bleeding risk when alteplase is administered. B. CORRECT: The nurse should plan to hold direct pressure on puncture sites for 10 to 30 min or until oozing of blood stops. C. A minocaproic acid is an antidote to alteplase and should only be administered in the event of serious bleeding that does not stop after blood products are administered or other remedies are
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tried. It would not be given prior to alteplase administration. D. A lteplase must be administered as soon as possible after manifestations of myocardial infarction, pulmonary embolism, or cerebral vascular accident begin. Three hours is often the limit; client outcomes would be decreased if 8 hr elapsed before beginning alteplase.
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