The nurse is planning care for a client prescribed enoxaparin (Lovenox). Which interventions should be included?
Standard Text: Select all that apply.
1. Teach the client or family to give subcutaneous injections at home.
2. Monitor for development of deep vein thrombosis.
3. Monitor multiple lab tests.
4. Teach the client signs of excessive bleeding.
5. Schedule administration times right before breakfast and the evening meal.
Correct Answer: 1,2,4
Rationale 1: Family and clients can be taught to give subcutaneous injections at home.
Rationale 2: Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs.
Rationale 3: Lovenox is a low-molecular-weight heparin (LMWH), and does not require multiple lab tests.
Rationale 4: Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility.
Rationale 5: Lovenox is generally administered once daily, and administration time is not tied to mealtimes.
Global Rationale: Family and clients can be taught to give subcutaneous injections at home. Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs. Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility. Lovenox is a low-molecular-weight heparin (LMWH), and does not require multiple lab tests. Lovenox is generally administered once daily, and administration time is not tied to mealtimes.
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