A nurse is reinforcing teaching with a client who is taking enoxaparin. Which of the following statements by the client indicates an understanding of the teaching?
A.
“will use ibuprofen when I have a headache.”
B.
“will use an electric razor for shaving”
C.
“will avoid the use of stool softeners.”
D.
“I will massage the site after each injection.”
The Correct Answer and Explanation is:
The correct answer is B. “will use an electric razor for shaving.”
Explanation:
Enoxaparin is a low molecular weight heparin used as an anticoagulant to prevent and treat blood clots. When taking enoxaparin, patients need to follow specific guidelines to minimize the risk of bleeding and ensure effective treatment. Here’s why each option is evaluated as follows:
A. “Will use ibuprofen when I have a headache.”
This statement indicates a lack of understanding. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken with anticoagulants like enoxaparin. Patients on enoxaparin should avoid NSAIDs and use alternative pain relief methods as advised by their healthcare provider. Acetaminophen (Tylenol) is generally recommended for pain relief in such cases, but it is essential to consult with a healthcare provider before using any medication.
B. “Will use an electric razor for shaving.”
This statement demonstrates an understanding of the teaching. Using an electric razor is recommended for patients on enoxaparin because it reduces the risk of cuts and nicks that can lead to bleeding. A manual razor could cause small injuries, which can be more problematic due to the increased bleeding risk associated with anticoagulant therapy.
C. “Will avoid the use of stool softeners.”
This is incorrect. Stool softeners are often recommended for patients on anticoagulants to prevent straining during bowel movements, which could increase the risk of bleeding or cause hemorrhoids. Patients on enoxaparin are typically advised to use stool softeners if they experience constipation, as this helps prevent complications related to straining.
D. “I will massage the site after each injection.”
This statement reflects a misunderstanding. After receiving an injection of enoxaparin, massaging the injection site can increase the risk of hematoma formation and bleeding. It is recommended to avoid massaging the site to prevent such complications. Instead, patients should apply gentle pressure to the site if there is bleeding or bruising.
In summary, using an electric razor (Option B) is an appropriate measure for reducing bleeding risk when taking enoxaparin, demonstrating a clear understanding of the safety measures needed while on this medication.