ATI Pharmacology

Correct Answer: D

Rationale: Enoxaparin is a medication that should be administered as a subcutaneous injection in the abdomen to prevent bleeding complications. Massaging the injection site after administration should be avoided to reduce the risk of local irritation or bleeding. Rotating injection sites between the arms and thighs is a good practice for some medications but not recommended for Enoxaparin, which should be consistently given in the abdomen for optimal absorption and to avoid complications.

Correct Answer: D

Rationale: Levothyroxine should be initiated at a low dose and titrated gradually over several weeks to achieve therapeutic levels. This approach helps to minimize the risk of adverse effects, particularly in older adult clients who may be more sensitive to medication changes. Starting at a low dose allows for close monitoring of the client's response and adjustment of the dosage as needed to optimize treatment outcomes.

Correct Answer: D

Rationale: A urine output of 200 mL in 8 hours indicates decreased kidney function, potentially due to Furosemide therapy. This finding can suggest inadequate renal perfusion and impaired drug clearance, necessitating immediate reporting to prevent further complications like electrolyte imbalances and worsening heart failure.

Correct Answer: A

Rationale: Clients with heart failure often have sodium restrictions. Sodium phosphate can lead to fluid retention due to sodium absorption, which is harmful for individuals with heart failure. Therefore, it should be avoided in this population to prevent exacerbating fluid overload.

Correct Answer: A

Rationale: The client should avoid eating or drinking 15 min prior to and while chewing the nicotine gum.