In a client on enoxaparin (Lovenox), which symptom would prompt the nurse to notify the physician?

Easy bruising is a notable symptom that should prompt the nurse to notify the physician for clients on enoxaparin (Lovenox). Enoxaparin is an anticoagulant that works by inhibiting certain factors in the blood clotting process, which increases the risk of bleeding and bruising. The presence of easy bruising indicates a potential adverse effect related to the medication's anticoagulant properties, suggesting that the blood's clotting ability may be compromised. Monitoring for signs of bleeding or unusual bruising is essential for patient safety, as it could signal an excessive response to the anticoagulant therapy.

While dry mouth, increased energy, and stomach cramps may occur for various reasons, they are not directly associated with the significant risk of bleeding that enoxaparin carries. Thus, any signs of abnormal bleeding, such as easy bruising, warrant prompt communication with the physician to assess the client's risk and consider any necessary adjustments to the treatment plan.