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 ["A","B","C","D"]

Explanation

A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.

A. Take medication at night and avoid grapefruit juice. B. Take medication on an empty stomach before breakfast. C. Avoid dietary intake of dark, leafy greens. D. Increase intake of potassium-rich foods and alcohol.

Correct Answer is A

Explanation

A. Lovastatin is most effective when taken at night because cholesterol synthesis primarily occurs during sleep. Grapefruit juice should be avoided as it can increase the drug's concentration, leading to potential toxicity.
B. Lovastatin should be taken with food, preferably in the evening, to enhance absorption and effectiveness.
C. Dark, leafy greens are not contraindicated with lovastatin; they do not interfere with the medication’s action.
D. Alcohol intake should be limited while on statins due to the increased risk of liver damage, and there is no need to increase potassium-rich foods specifically.

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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

Which of the following would the nurse correctly include in client teaching about nitroglycerin (Nitrostat)? (Select all that apply.)

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

Explanation

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

Correct Answer is A

Explanation

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