A Patient with a Venous Thromboembolism (VTE) Is Started on Enoxaparin

question 20

Multiple Choice

A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin) . The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

• A) "Administration of two anticoagulants reduces the risk for recurrent venous thrombosis."
• B) "Lovenox will start to dissolve the clot, and Coumadin will prevent any more clots from occurring."
• C) "The Lovenox will work immediately, but the Coumadin takes several days to have an effect on coagulation."
• D) "Because of the potential for a pulmonary embolism, it is important for you to have more than one anticoagulant."

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Definitions:

Cognitive Dissonance Theory

A psychological theory that suggests that individuals experience discomfort (dissonance) arising from inconsistent attitudes, beliefs, or behaviors and are motivated to reduce this discomfort by changing their attitudes, beliefs, or actions.

Severe Initiations

The concept that undergoing difficult or intense initiation processes can increase individuals' valuation and commitment to a group.

Painful Initiations

Rituals or rites of passage that involve undergoing discomfort or pain as a means of gaining entry into a group or society.

Questionable Act

Pertains to actions or behaviors that raise doubt regarding their morality, ethics, or legality, often eliciting scrutiny or criticism.