A nurse is providing education of enoxaparin to a patient diagnosed with deep venous thrombosis. Which statement by the patient indicates understanding of the teaching?

"It eliminates the clotting factors."

"This medication will keep the blood clot from growing larger."

"This medication will decrease my risk for bleeding."

"I will get this medication in my veins."

Answer and Explanation

The Correct Answer is B

A. "It eliminates the clotting factors." - This statement suggests a misunderstanding of how enoxaparin works. Enoxaparin is a low molecular weight heparin that does not eliminate clotting factors but rather inhibits the activity of factor Xa, a key enzyme involved in the coagulation cascade. By inhibiting factor Xa, enoxaparin prevents the conversion of prothrombin to thrombin, thereby reducing the formation of fibrin clots. It does not eliminate existing clotting factors from the bloodstream.

B. "This medication will keep the blood clot from growing larger." - This statement demonstrates a correct understanding of enoxaparin's mechanism of action. Enoxaparin is an anticoagulant medication that works by preventing the enlargement of existing blood clots. By inhibiting the activity of factor Xa, enoxaparin prevents the conversion of prothrombin to thrombin, thereby reducing the formation of fibrin clots and preventing existing clots from growing larger.

C. "This medication will decrease my risk for bleeding." - This statement is incorrect. Enoxaparin, like other anticoagulants, actually increases the risk of bleeding due to its mechanism of action. By inhibiting the coagulation cascade, enoxaparin prolongs the time it takes for blood to clot, which can lead to an increased risk of bleeding, particularly in patients who are predisposed to bleeding or are taking other medications that affect clotting.

D. "I will get this medication in my veins." - This statement is incorrect. Enoxaparin is administered subcutaneously, not intravenously. It is usually injected into the fatty tissue of the abdomen or thigh using a prefilled syringe with a short, thin needle. The subcutaneous route of administration allows for slow absorption and sustained anticoagulant effects over time.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Oral candidiasis and nausea: Oral candidiasis (thrush) and nausea are common manifestations in patients with AIDS, particularly when the CD4 count is low. While these symptoms require intervention, they are not typically considered emergent or immediately life-threatening.

B. Genital ulcer and vomiting: Genital ulcers and vomiting can occur in patients with AIDS due to various opportunistic infections and conditions. While these symptoms may warrant intervention, they are not typically indicative of an immediate life-threatening situation.

C. Memory deficit and apathy: Memory deficits and apathy can occur in patients with AIDS, particularly as the disease progresses. While these cognitive and behavioral changes may impact the patient's quality of life and require intervention, they are not typically considered emergent or immediately life-threatening.

D. Progressive dyspnea and fever: Progressive dyspnea (difficulty breathing) and fever are concerning findings in a patient with AIDS, especially with a CD4 count less than 200. These symptoms may indicate the presence of opportunistic infections such as Pneumocystis jirovecii pneumonia (PCP), which can rapidly progress and lead to respiratory failure and death if not promptly treated. Therefore, these assessment findings require immediate intervention to assess for and manage potential respiratory compromise and systemic infection.

A. Sedentary lifestyle B. Diabetes C. Cigarette smoking D. Hyperlipidemia

Correct Answer is C

Explanation

A. Sedentary lifestyle: While a sedentary lifestyle can contribute to the development and progression of peripheral arterial disease (PAD), it is not the highest risk factor compared to other options listed. Regular physical activity is important for cardiovascular health and can help reduce the risk of PAD, but other risk factors may have a greater impact on disease development.

B. Diabetes: Diabetes is a significant risk factor for PAD, especially when poorly controlled. High blood sugar levels can damage blood vessels and nerves, leading to atherosclerosis and reduced blood flow to the limbs. However, compared to cigarette smoking, diabetes may not be considered the highest risk factor for PAD.

C. Cigarette smoking: Cigarette smoking is the highest risk factor for peripheral arterial disease (PAD). Tobacco smoke contains numerous harmful chemicals that damage blood vessels and promote atherosclerosis, narrowing the arteries and reducing blood flow to the limbs. Smoking not only increases the risk of developing PAD but also accelerates its progression and worsens symptoms. Quitting smoking is one of the most important interventions for preventing and managing PAD.

D. Hyperlipidemia: Elevated levels of cholesterol and triglycerides (hyperlipidemia) contribute to the development of atherosclerosis, which is a key mechanism underlying peripheral arterial disease (PAD). However, while hyperlipidemia is a significant risk factor, it may not be considered the highest risk factor compared to cigarette smoking. Controlling cholesterol levels through lifestyle changes and medications is essential for managing PAD and reducing cardiovascular risk.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing education of enoxaparin to a patient diagnosed with deep venous thrombosis. Which statement by the patient indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS) whose most recent laboratory values reveal a CD4 level less than 200. Which assessment findings require immediate intervention?

Correct Answer is D

Explanation

A nurse is caring for a patient with peripheral arterial disease. Which factor will the nurse identify as the highest risk?

Correct Answer is C

Explanation

A patient with hepatitis E is admitted to a medical-surgical unit. The nurse teaches the patient and their family that this type of hepatitis spread through which mode of transmission?

The nurse is caring for a patient who has been taking metoprolol as a second medication to control hypertension. The nurse will assess for which side effect?

The nurse has given nutritional instructions to a patient with acquired immune deficiency syndrome (AIDS) who has recurrent diarrhea. Which statement by the patient requires further instructions?

The nurse is assessing a patient who was recently switched to amlodipine. Which assessment finding indicates that the patient is experiencing side effects of the drug? Select All That Apply

A nurse is assessing a patient diagnosed with deep-vein thrombosis. Which clinical manifestation is consistent with the diagnosis?

The nurse is caring for a patient newly diagnosed with hypertension. What barrier to blood pressure management will the nurse identify?

The nurse is assessing a patient diagnosed with chronic venous insufficiency. Which clinical manifestations are consistent with this diagnosis? Select All That Apply