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?
Insulin.
Warfarin (Coumadin).
Heparin.
Enoxaparin (Lovenox).
The Correct Answer is B
Choice A rationale
Insulin is a medication used to manage blood sugar levels in clients with diabetes. It is not appropriate for the management of deep vein thrombosis (DVT) as it has no anticoagulant properties.
Choice B rationale
Warfarin (Coumadin) is an oral anticoagulant commonly prescribed for the long-term management of DVT. It is suitable for clients who are unable to self-administer injections, making it a practical option for discharge.
Choice C rationale
Heparin is an anticoagulant that is typically administered via injection or IV. For clients unable to self-inject at home, it is not the best choice for managing DVT after discharge.
Choice D rationale
Enoxaparin (Lovenox) is a low-molecular-weight heparin that is also administered via injection. For clients unable to perform self-injections, this medication would not be the most appropriate option for home management of DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Combining multiple hepatotoxic medications increases the risk of liver damage due to cumulative toxicity effects.
Choice B rationale
Liver damage impairs the liver's ability to metabolize medications, leading to medication accumulation and potential adverse effects.
Choice C rationale
Combining hepatotoxic medications does not decrease the risk of liver damage; it increases it, as multiple toxic agents compound the stress on the liver.
Choice D rationale
Common manifestations of hepatotoxicity include symptoms like nausea, vomiting, jaundice, dark urine, abdominal discomfort, and anorexia, indicating liver dysfunction.
Correct Answer is B
Explanation
Choice A rationale
Albuterol is a beta-agonist used for treating asthma, not a first-generation antihistamine.
Choice B rationale
Diphenhydramine is a first-generation antihistamine commonly used for allergic reactions.
Choice C rationale
Certirizine is a second-generation antihistamine, not a first-generation.
Choice D rationale
Codeine is an opioid analgesic and not related to antihistamines.
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