A client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?

Measuring the client's blood pressure.

Assessing the client's platelet count.

Ensuring the client has an indwelling urinary catheter.

Obtaining the client's weight.

None

Answer and Explanation

The Correct Answer is D

A. Measuring the client's blood pressure is an important assessment but is not the immediate priority when preparing to administer enoxaparin.
B. Assessing the client's platelet count is critical before administering enoxaparin, especially because low molecular weight heparins can lead to heparin-induced thrombocytopenia (HIT). Monitoring platelet levels helps to ensure the client's safety and prevent complications.
C. Ensuring the client has an indwelling urinary catheter is not necessary for the administration of enoxaparin and does not relate to its safety or efficacy.
D. Obtaining the client's weight is relevant for dosing but is secondary to assessing the platelet count, particularly in light of the risk of HIT.

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Correct Answer is A

Explanation

A) This choice is correct. Performing calf-stretching exercises in the aisle can help improve blood circulation in the legs during a long flight and reduce the risk of stasis and clot formation.

B) This choice is incorrect because using a heating pad on the legs during a flight may not be feasible or safe. It is not a recommended preventive measure for DVT.

C) This choice is incorrect because wearing compression stockings during the flight is a recommended preventive measure for DVT. Compression stockings help improve blood flow and reduce the risk of clot formation during prolonged immobility.

D) This choice is incorrect because taking prescribed anticoagulant medication before boarding a flight is not a recommended preventive measure for all clients. The decision to take anticoagulant medication before a flight should be based on the client's individual risk factors and medical history.

A. "You should avoid foods high in vitamin K while on warfarin." B. "Warfarin will dissolve the blood clot in your leg." C. "Be sure to take your warfarin dose at the same time each day." D. "You can discontinue warfarin once the symptoms of DVT disappear."

Correct Answer is A

Explanation

A) This choice is correct. Warfarin works by inhibiting the synthesis of vitamin K-dependent clotting factors in the liver. Consistent vitamin K intake can impact the effectiveness of warfarin, so it is important for clients to maintain a stable vitamin K intake and avoid sudden changes in their diet.

B) This choice is incorrect because warfarin does not directly dissolve the blood clot in the leg. It prevents the formation of new clots and allows the body's natural mechanisms to dissolve the existing clot over time.

C) This choice is incorrect because while taking warfarin at the same time each day can help with adherence, the priority teaching point is about vitamin K intake and not the exact timing of the medication.

D) This choice is incorrect because discontinuing warfarin without medical guidance can be dangerous. Warfarin is typically prescribed for a specific duration, and its cessation should be guided by the healthcare provider based on the client's individual condition and risk factors.

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A client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of deep vein thrombosis (DVT) is scheduled for a long-haul flight. What should the nurse recommend to the client as a preventive measure during the flight?

Correct Answer is A

Explanation

A client is prescribed warfarin for the treatment of deep vein thrombosis (DVT). What is the nurse's priority teaching point regarding warfarin therapy?

Correct Answer is A

Explanation

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