A nurse is collecting data from a client who is taking enoxaparin.
The client reports starting the use of dietary supplements.
The nurse should report the use of which of the following supplements to the provider?

Echinacea.

Ginkgo biloba.

Probiotics.

Flaxseed powder.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Echinacea has immunomodulatory effects, potentially boosting immunity. While it interacts with some medications, its usage does not pose significant risks with anticoagulants like enoxaparin unless combined with other supplements or medications causing immune changes.

Choice B rationale

Ginkgo biloba increases the risk of bleeding due to its antiplatelet effects, which can compound the anticoagulant effects of enoxaparin. This interaction requires reporting to the provider to adjust or monitor anticoagulant therapy accordingly.

Choice C rationale

Probiotics support gut health but do not interact significantly with anticoagulants or alter coagulation parameters. Their usage can generally be continued unless specific contraindications arise with concurrent conditions or medications.

Choice D rationale

Flaxseed powder is a source of omega-3 fatty acids, which may have mild anticoagulant effects. However, this interaction is not typically strong enough to warrant reporting unless combined with other supplements affecting coagulation.

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Correct Answer is D

Explanation

Choice A rationale

A small amount of dark red wound drainage, such as 20 mL over 4 hours, is a typical postoperative finding in clients following bowel surgery. This observation indicates normal postoperative healing and does not require immediate intervention, making it a lower priority.

Choice B rationale

Pain at the incision site rated as 6 out of 10 is a moderate pain level that is expected in the postoperative period. While managing pain is important, this is not an urgent priority compared to other clinical findings that indicate systemic compromise or potential complications.

Choice C rationale

Dark yellow urine output totaling 60 mL over 4 hours reflects low urine output but does not meet the oliguria threshold of less than 30 mL per hour. This finding may require further assessment but is not immediately critical compared to symptoms of altered consciousness.

Choice D rationale

A client arousing easily but quickly falling back asleep indicates a potential alteration in consciousness, which can result from hypovolemia, hypoxia, or other complications. This finding is a priority for reporting as it may signify deteriorating neurological or hemodynamic status that requires immediate intervention. .

Correct Answer is ["119"]

Explanation

Step 1 is to convert the client's weight from pounds to kilograms: 175 lb ÷ 2.2 = 79.545 kg.

Step 2 is to calculate the dose: 1.5 mg × 79.545 kg = 119.3175 mg.

Step 3 is to round the answer to the nearest whole number: 119 mg. Final answer: 119 mg.

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A nurse is collecting data from a client who is taking enoxaparin.The client reports starting the use of dietary supplements.The nurse should report the use of which of the following supplements to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 6 hr postoperative following a bowel resection.Which of the following findings is the priority for the nurse to report?

Correct Answer is D

Explanation

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["119"]

Explanation

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A nurse is collecting data from a client who is taking enoxaparin.
The client reports starting the use of dietary supplements.
The nurse should report the use of which of the following supplements to the provider?