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    Ati RN pharmacology 2023 proctored exam

    A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

    Explanation & Rationale

    A. "Notify your provider if you have dark stools.": Dark, tarry stools may indicate gastrointestinal bleeding, a serious adverse effect of enoxaparin, which is an anticoagulant. Clients should be taught to report any signs of internal bleeding promptly to avoid complications. B. "The purpose of the medication is to decrease bleeding.": Enoxaparin is used to prevent blood clots, not to decrease bleeding. As an anticoagulant, its action increases bleeding risk, so this statement is incorrect and potentially misleading. C. "Administer this medication into a large muscle.": Enoxaparin is given subcutaneously, not intramuscularly. Injecting it into a muscle increases the risk of hematoma and is contraindicated due to its anticoagulant effects. D. "Inject the needle at a 15-degree angle.": A 15-degree angle is appropriate for intradermal injections, not subcutaneous ones. Subcutaneous injections should typically be given at a 45- to 90-degree angle depending on the patient’s body habitus.

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