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

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."

Correct Answer:

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