A patient has been receiving heparin while in the hospital to treat deep vein thromboses and will be discharged home with a prescription for enoxaparin (Lovenox)
The nurse provides teaching for the nursing student who asks about the advantages of enoxaparin over heparin. Which statement by the student indicates a need for further teaching?
a. "Enoxaparin does not require coagulation monitoring."
b. "Enoxaparin has greater bioavailability than heparin."
c. "Enoxaparin is more cost-effective than heparin."
d. "Enoxaparin may be given using a fixed dosage."
ANS: C
Low-molecular-weight (LMW) heparins have higher bioavailability and longer half-lives, so routine coagulation monitoring is not necessary and fixed dosing is possible. LMW heparins are more expensive, however, so this statement indicates a need for further teaching.
You might also like to view...
A patient is diagnosed with a deep vein thrombosis. The physician orders Coumadin. What skin lesion should the nurse monitor this patient for?
A) Ulcer B) Ecchymoses C) Scar D) Erosion
A patient with hypertension wants to use essential oils. With which of the following statements should the nurse instruct this patient?
a. some essential oils can elevate or depress blood pressure and should be avoided b. always dilute essential oils in a carrier oil c. avoid contact with the eyes d. store in dark glass bottles
Which theory of leadership suggests that it is important to recognize the existence of in-groups and out-groups within an organization?
a. Path-goal theory b. Expectancy theory c. Servant leadership d. Leader-member exchange theory
The nurse asks a patient who experienced a cerebral vascular accident (CVA) to complete the heel-to-shin test. What is the nurse testing for with this technique?
A. Graphesthesia B. Coordination C. Ataxia D. Spasticity