This topic contains a solution. Click here to go to the answer

Author Question: A patient is being discharged to his home on enoxaparin (Lovenox) injections for treatment of deep ... (Read 31 times)

mia

  • Hero Member
  • *****
  • Posts: 564
A patient is being discharged to his home on enoxaparin (Lovenox) injections for treatment of deep vein thrombosis (DVT). Which of the following statements made by the patient indicates a need for further discharge teaching by the nurse?
 
  a. I will inject the enoxaparin into the fatty tissue of my abdomen.
  b. I hate needles, but I know enoxaparin doesn't come in pill form.
  c. I will need to go to my doctor's office each day to have my blood drawn to see whether enoxaparin is working.
  d. I will call my physician immediately if I experience any uncontrollable bleeding while on enoxaparin.

Question 2

A patient applies a transdermal nitroglycerin patch at 0900. What additional instruction should be provided by the nurse regarding the patch?
 
  a. Leave the patch in place until the following morning, when a new patch will be applied.
  b. Apply an additional patch if breakthrough anginal pain occurs.
  c. Remove the patch at 9 PM.
  d. Note the location of the patch, so that it can be reapplied in the same location to enhance absorption.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

14vl19

  • Sr. Member
  • ****
  • Posts: 310
Answer to Question 1

ANS: C
The half-life of a low-molecular-weight (LMW) heparin, such as enoxaparin, is up to six times longer than that of unfractionated heparin. Less binding to macrophages and slower clearance by the liver are also factors. Because of enoxaparin's increased bioavailability, the plasma levels of the drug are highly predictable. As a result, it can be given on a fixed schedule with no need for routine monitoring of coagulation.
Enoxaparin is administered subcutaneously (into fatty tissue), and the abdomen is a correct injection site.
LMW heparins, such as enoxaparin, are available only for subcutaneous injection.
Bleeding is the major adverse effect and should be reported if it does not cease.

Answer to Question 2

ANS: C
A daily patch free interval of 10 to 12 hours is recommended. This can be accomplished by applying a new patch each morning, leaving it in place for 12 to14 hours, and then removing it in the evening.
A daily patch free interval of 10 to 12 hours is recommended. This can be accomplished by applying a new patch each morning, leaving it in place for 12 to14 hours, and then removing it in the evening.
An additional patch is never indicated, because hypotension may occur.
Patches should be rotated to different areas to prevent irritation and skin breakdown.




mia

  • Member
  • Posts: 564
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


shailee

  • Member
  • Posts: 392
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Bacteria have flourished on the earth for over three billion years. They were the first life forms on the planet.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

For a complete list of videos, visit our video library