The nurse is preparing to administer enoxaparin (Lovenox) to a client before hip replacement surgery. Which of the following conditions would prevent the nurse from administering this drug?
Deep Vein Thrombosis (DVT)
Bleeding disorder
Heart Rate of 60
Pulmonary Embolism (PE)
The Correct Answer is B
A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nifedipine [Adalat XL] is a long-acting calcium channel blocker, and it should be swallowed whole to maintain its extended-release properties and ensure proper absorption.
B. Blood pressure should be monitored regularly, but taking it in the morning is not specifically related to nifedipine's use.
C. While caution with OTC medications is generally good advice, it is not specific to nifedipine.
D. The timing of the medication (morning vs. bedtime) is not typically specified unless otherwise directed by the healthcare provider.
Correct Answer is D
Explanation
A. Constipation, not diarrhea, is a more common side effect of colesevelam.
B. Although colesevelam may interfere with the absorption of fat-soluble vitamins, this is not the priority teaching point.
C. Colesevelam should be taken as prescribed, not repeatedly within short intervals.
D. Colesevelam can interfere with the absorption of other medications; therefore, it should be taken at least 4 hours after other medications to avoid interactions.
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