Practice Question
A nurse (PN) is caring for a client who is taking enoxaparin following an orthopedic surgery. Vans should the PN consider prior to administering the next dose? Reference Range: White Blood Cell (WBC) [5,000 to 10,000/mm3 (5 to 10 × 109/L] , Red Blood cell count (RBC) [4.2 to 5.4 × 106/µL (4.2 to 5.4 × 1012/µL], Platelets [150,000 to 400,000/mm3 (150 to 400 × 109/L], Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Answer Choices:
Correct Answer:
Platelet count of 170,000/rnrn3 (170 109fL).
Rationale:
💎Low-molecular-weight heparins (e.g., enoxaparin) can cause heparin-induced thrombocytopenia (HIT), so the most relevant lab to review before dosing is the platelet count.
💎A count of 170,000/mm³ is within the normal range (150–400 × 10⁹/L), indicating no thrombocytopenia and no lab-based reason to hold the next dose.
💎Nurses generally hold and notify the provider if platelets fall below ~100,000/mm³ or drop ≥50% from baseline, but that concern is not present here.
💎While other labs (e.g., WBC, Hgb, RBC) provide clinical context, they do not guide enoxaparin safety the way platelets do.
💎Therefore, with platelets normal, administration may proceed as prescribed while continuing routine bleeding and HIT surveillance.
Want to practice more questions like this?
This question is from Hesi Exit CAT Exam-PN 2025 which contains 107 questions.
More Questions from This Exam
The nurse (PN) is caring for an infant who is transitioning from parenteral nutrition to enteral repair. Which finding Should the PN recognize is an indication of failure to thrive?
Answer Choices:
The practical nurse (PN) accompanies a healthcare provider (HCP) when the client receives the of stage 4 metastatic cancer. The client's spouse immediately responds. "You must have made a mistake. We want to get a second opinion.” The PN should consider which stage of the grieving process in order to respond best to the spouse's comments?
Answer Choices:
Prior to giving digoxin the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on his finding, which action should the PN take?
Answer Choices:
Which finding(s) can the practical nurse (PN) determine by palpating a client's skin? Select all that apply
Answer Choices:
A client with heart failure (HF) is taking a diuretic. While evaluating the effectiveness of the medication regimen assessment is most important for the practical nurse (PN) to monitor?
Answer Choices:
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4