Maria Cortez is a 32-year-old client who had surgery on her left knee 2 months ago. She is obese and has had difficulty

Question

Maria Cortez is a 32-year-old client who had surgery on her left knee 2 months ago. She is obese and has had difficulty ambulating since the surgery. She also has a history of pulmonary embolus (PE). She has been taking a low molecular weight heparin, enoxaparin, since the surgery because of her history of PE and risk for the development of deep vein thrombosis (DVT). • Ms. Cortez calls the medical clinic and asks to speak to the nurse. She states that she has just learned that she is pregnant and is concerned that the enoxaparin will harm the baby. How should the nurse respond? • Ms. Cortez has a successful delivery of a baby girl. Ten months later, she is hospitalized for additional surgery on her knee. Her recovery is complicated by the development of a DVT, and she is started on warfarin. Discuss the teaching that the nurse should provide Ms. Cortez before discharging her on warfarin.

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