A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

Choice A reason: Sees himself as inferior to others is not typically associated with paranoid personality disorder. Individuals with this disorder often have a pervasive distrust and suspicion of others but do not necessarily view themselves as inferior.

Choice B reason: Persistently holds grudges is a common characteristic of paranoid personality disorder. These individuals often harbor long-term grudges and are unwilling to forgive perceived insults or slights.

Choice C reason: Demonstrates a grandiose sense of self-importance is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Paranoid individuals are more focused on the perceived intentions of others rather than their own self-importance.

Choice D reason: Desires to be the center of attention is typically associated with histrionic personality disorder, not paranoid personality disorder. Paranoid individuals are more likely to be suspicious and distrustful rather than seeking attention.

Choice E reason: Believes that others are deceiving him is a hallmark of paranoid personality disorder. These individuals often believe that others are out to harm or deceive them, leading to pervasive mistrust and suspicion.

Choice A reason:

The statement “Dark urine” is not typically a manifestation of an allergic reaction to oxacillin. Dark urine can indicate other issues such as dehydration, liver problems, or the presence of blood, but it is not a common sign of an allergic reaction to antibiotics.

Choice B reason:

The statement “Diarrhea” is a common side effect of many antibiotics, including oxacillin, but it is not specifically indicative of an allergic reaction. Diarrhea can occur due to the disruption of normal gut flora by antibiotics, but it does not necessarily mean the patient is allergic to the medication.

Choice C reason:

The statement “Urticaria” (hives) is a classic sign of an allergic reaction. Urticaria presents as raised, itchy welts on the skin and is a common allergic response to medications, including oxacillin. This reaction occurs when the immune system releases histamines in response to the drug.

Choice D reason:

The statement “Fever” can be associated with both infections and allergic reactions, but it is not a definitive sign of an allergic reaction to oxacillin. Fever can occur due to the underlying infection being treated or as a side effect of the medication, but it is not as specific as urticaria for indicating an allergic response.