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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