A nurse is caring for a client with deep vein thrombosis (DVT) that will be discharged from the hospital in the next hour.
The nurse notes that the client is unable to provide self-injections at home.
Which of the following medications should the nurse expect for discharge to manage the DVT at home?

Choice A rationale

Metoprolol is a beta-blocker that is commonly used to manage hypertension and control heart rate. It works by blocking beta-adrenergic receptors, which decreases heart rate and blood pressure.

Choice B rationale

Enoxaparin is an anticoagulant used to prevent and treat deep vein thrombosis and pulmonary embolism, not primarily to manage hypertension.

Choice C rationale

Heparin is an anticoagulant used to prevent and treat blood clots, and it is not indicated for the management of hypertension.

Choice D rationale

Simvastatin is a lipid-lowering medication used to manage high cholesterol levels and is not used to manage hypertension.

Choice A rationale

Determining the dosage is a critical responsibility of the nurse to ensure the patient receives the correct amount of medication, which is essential for therapeutic effectiveness and patient safety. This practice aligns with legal guidelines to avoid underdosing or overdosing, which could lead to adverse outcomes.

Choice B rationale

Teaching the client about the medication is part of the nurse's duty to promote patient understanding, compliance, and informed consent. Educating clients about their medications, including potential side effects and proper administration, helps in preventing medication errors and promoting safe, effective treatment.

Choice C rationale

Monitoring for adverse effects is crucial to ensure patient safety and the efficacy of the medication. Nurses must observe and report any negative reactions to the medication to adjust treatment promptly, which is part of their legal and ethical responsibilities.

Choice D rationale

Determining the client's insurance status is generally not considered part of a nurse's duties related to medication administration under legal practice guidelines. This task is more aligned with administrative or billing departments rather than clinical nursing responsibilities.