The nurse cares for a client receiving Enoxaparin subcutaneously to prevent deep vein thrombosis (DVT). Which assessment findings should be reported to the health care provider immediately?

The client's stool is a dark green liquid.

The client's aPTT time is twice their baseline.

The client has a few abdominal bruises.

The client's blood pressure is 88/46.

Answer and Explanation

The Correct Answer is D

A. Dark green liquid stool is not a typical sign of bleeding; black, tarry stools (melena) would be concerning.
B. Enoxaparin (a low-molecular-weight heparin) does not require routine aPTT monitoring; this finding is less relevant.
C. Minor bruising can occur with anticoagulant therapy and may not require immediate reporting unless extensive.
D. Hypotension (BP 88/46) can indicate bleeding or hemorrhage, which is a serious adverse effect of enoxaparin and should be reported immediately.

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Correct Answer is D

Explanation

A. Routine use of antibiotic ointment on surrounding skin is not standard unless infection is present.
B. Occlusive dressings help maintain a moist wound environment but must be managed carefully; frequency depends on wound status.
C. Graduated compression stockings are recommended to improve venous return and aid ulcer healing; abstaining from them is not advised.
D. A high-calorie, high-protein diet supports tissue repair and immune function, promoting healing and preventing infection in clients with venous ulcers.

A. Insulin glargine detemir has a duration of 16 to 24 hr. B. Insulin glargine detemir has a duration of 24 hr. C. Insulin glargine detemir has a duration of 3 to 6 hr. D. Insulin glargine detemir has a duration of 6 to 10 hr.

Correct Answer is A

Explanation

A. Insulin detemir is a long-acting insulin with an onset of action around 1 to 2 hours and a duration of 16 to 24 hours, depending on the dose and individual response.
B. Insulin glargine typically lasts close to 24 hours, but detemir may not last the full 24 hours in all clients.
C. This describes the action of short-acting insulin, not long-acting.
D. This is more consistent with intermediate-acting insulins like NPH, not long-acting types like detemir.

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The nurse cares for a client receiving Enoxaparin subcutaneously to prevent deep vein thrombosis (DVT). Which assessment findings should be reported to the health care provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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