A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which statement made by the client indicates a need for further teaching?

A. Measuring blood pressure is part of routine assessment and may help identify signs of bleeding. However, it does not directly address the most significant hematologic risk associated with enoxaparin therapy.

B. Assessing the client’s platelet count is essential prior to administration because low molecular weight heparins can cause thrombocytopenia, including heparin-induced thrombocytopenia. Reviewing platelet levels helps prevent serious complications such as bleeding or paradoxical clot formation.

C. Ensuring the presence of an indwelling urinary catheter is unrelated to the safe administration of enoxaparin and may actually increase infection risk. Catheter placement is not required for this medication.

D. Obtaining the client’s weight is important because dosing of enoxaparin is weight-based. However, screening for thrombocytopenia takes priority due to the potential for life-threatening complications.

A) This choice is correct. Warfarin is an anticoagulant that works by inhibiting the synthesis of vitamin K-dependent clotting factors. Clients on warfarin should be advised to avoid significant fluctuations in vitamin K intake, as found in foods like leafy greens and other green vegetables, to maintain consistent anticoagulation levels.

B) This choice is incorrect because discontinuing warfarin suddenly can increase the risk of blood clot formation and other complications. Clients should follow their healthcare provider's instructions for warfarin dosing and management.

C) This choice is incorrect because taking warfarin with grapefruit juice is not recommended and may not improve medication absorption. Grapefruit juice can interfere with the metabolism of some medications, but it is not a recommended method for enhancing warfarin absorption.

D) This choice is incorrect because clients on warfarin should be cautious about taking over-the-counter pain medications, especially nonsteroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of bleeding. Clients should consult their healthcare provider before taking any new medications while on warfarin.

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