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. Lithium is a mood stabilizer specifically used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is used for anxiety management, not for treating acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating acute mania.
D. Paroxetine (Paxil) is an antidepressant used for depression and is not indicated for treating acute mania.
Correct Answer is B
Explanation
A. Zolpidem can cause complex sleep behaviors like sleep-driving, and this side effect does not necessarily resolve after 2 weeks.
B. Zolpidem can lead to complex sleep behaviors, including sleep-driving, with associated memory loss.
C. Severe allergic reactions are not typically associated with memory loss and sleep-driving.
D. Toxic levels would present with more severe symptoms and are less likely to be solely characterized by sleep-driving.
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