A nurse must explain the possible impact of enoxaparin on which bodily function?

Enoxaparin is a low molecular weight heparin that primarily affects the coagulation process by inhibiting factor Xa and to a lesser extent factor IIa (thrombin). Its main therapeutic use is in the prevention and treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), as well as in certain cardiac conditions. By reducing the ability of blood to clot, enoxaparin directly influences the body's coagulation pathways.

This effect on the coagulation process is crucial for its function in preventing thrombus (blood clot) formation, which is vital in various clinical scenarios, such as post-surgery or in patients with limited mobility. The nurse’s role in educating patients about the implications of this anticoagulant effect includes discussing potential risks such as bleeding issues, as a significant alteration in coagulation can lead to excessive bleeding during and after surgical procedures or in patients with existing bleeding disorders.

The other options do not correctly reflect the primary impact of enoxaparin. While it's important for nurses to monitor kidney function in patients taking enoxaparin, as renal impairment can affect drug clearance, this is not the direct impact of the medication itself. Gastrointestinal absorption and cardiac rhythm are not significantly influenced by enoxap