The nurse is preparing to administer enoxaparin (Lovenox) to a client before hip replacement surgery. Which of the following conditions would prevent the nurse from administering this drug?

Deep Vein Thrombosis (DVT)

Bleeding disorder

Heart Rate of 60

Pulmonary Embolism (PE)

Answer and Explanation

The Correct Answer is B

A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.

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Correct Answer is D

Explanation

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

A. Hypercalcemia B. Hypokalemia C. Hypocalcemia D. Hyponatremia

Correct Answer is B

Explanation

A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.

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The nurse is preparing to administer enoxaparin (Lovenox) to a client before hip replacement surgery. Which of the following conditions would prevent the nurse from administering this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Correct Answer is D

Explanation

The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

Correct Answer is B

Explanation

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