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)

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

A. Eat 3-5 large salads per week for roughage. B. Carry an emergency ID identifying that you take warfarin (Coumadin). C. Avoid hazardous activities such as football and hockey. D. Follow-up with healthcare provider and obtain lab work regularly. E. You may drink no more than 1-2 alcoholic beverages per day with this drug.

Correct Answer is ["B","C","D"]

Explanation

A. Leafy greens can affect warfarin effectiveness, so clients should be advised on consistent intake rather than large quantities.
B. Carrying an emergency ID is important for identification in case of an accident.
C. Hazardous activities should be avoided to reduce the risk of bleeding.
D. Regular follow-up and lab work are essential for monitoring INR levels and adjusting dosages.
E. Alcohol can interact with warfarin, so the intake should be limited and discussed with a healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Correct Answer is D

Explanation

The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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