A nurse is assisting with teaching a group of newly licensed nurses about medication administration.
The nurse should include that which of the following medications is administered using the Z-track method?

Choice A rationale

Securing the catheter tubing to the client’s thigh prevents unnecessary movement and minimizes the risk of catheter displacement or trauma, promoting urinary tract health.

Choice B rationale

Topical antimicrobial ointments are not routinely recommended for catheter care as they can promote microbial resistance or skin irritation without substantial benefit.

Choice C rationale

Clean technique is insufficient for collecting urine specimens from an indwelling catheter. Sterile technique is mandatory to prevent contamination and subsequent urinary tract infection.

Choice D rationale

Emptying the drainage bag every 12 hours is too infrequent. Urine should be drained regularly, typically every 6 to 8 hours or as needed, to prevent backflow or bacterial growth.

Choice A rationale

Echinacea enhances immune function but has minimal effects on coagulation. It is not commonly associated with adverse interactions with anticoagulants like enoxaparin unless paired with other supplements causing significant immune changes.

Choice B rationale

Ginkgo biloba poses an increased bleeding risk due to antiplatelet effects, which can compound the anticoagulant properties of enoxaparin. This interaction necessitates close monitoring and communication with the provider.

Choice C rationale

Probiotics aid gastrointestinal health without influencing coagulation pathways or interacting significantly with anticoagulants. They are generally safe to continue unless contraindicated by other clinical factors.

Choice D rationale

Flaxseed powder contains omega-3 fatty acids, which may have mild anticoagulant properties. However, this interaction is usually not clinically significant unless used in large quantities alongside other anticoagulants. .