A patient is being discharged on enoxaparin (Lovenox). Which ...

[JGIBBSON]

A patient is being discharged on enoxaparin (Lovenox). Which statement does the nurse include in the discharge teaching plan?
 
  a. An advantage of this drug is that labs do not need to be drawn to guide therapy.
  b. Follow-up lab work must be drawn every 2 to 6 months.
  c. Enoxaparin is given intramuscularly twice a day.
  d. The purpose of this drug is to dissolve clots.

Question 2

An older adult is prescribed naproxen (Naprosyn) 250 mg orally twice daily for management of arthritis pain. Which precaution is most important for the nurse to teach?
 
  a. Weigh yourself daily every morning, and if you gain more than 3 to 4 pounds in a week, report it to your prescriber.
  b. Avoid taking blood pressure medicine at the same time as this drug because Naprosyn inactivates these drugs.
  c. Go to the emergency department for an injection of Naprosyn if you are vomiting and cannot keep the drug down.
  d. Drink a full glass of water every time you take a dose of Naprosyn.

[vboyd24]

Answer to Question 1

A
A major advantage of using low-molecular-weight heparins such as enoxaparin is that patients are not required to have laboratory work done to guide their therapy. The drug is given two times daily subcutaneously. Its purpose is to prevent venous thromboembolic events and pulmonary embolism.

Answer to Question 2

A
Naproxen and other NSAIDs cause salt and water retention that can lead to fluid overload and high blood pressure, increasing the risk for heart attack or heart failure. Teach older adult patients taking NSAIDs to check their weight daily and to report any weight gain of more than 3 to 4 pounds to the prescriber. This amount of weight gain is associated with fluid retention rather than increased body fat. NSAIDs reduce the effectiveness of some blood pressure drugs because of the fluid retention, not because they inactivate the drug.

[JGIBBSON]

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