Enoxaparin (Lovenox) is contraindicated in a client with which history?

• A. Bleeding disorder
• B. Congestive heart failure
• C. Kidney stones
• D. Asthma

Answer: (A)

Anticoagulants like enoxaparin are used to prevent clotting, but they also raise the risk of bleeding. If a patient has a history of a bleeding disorder, their tendency to bleed is already increased; giving an anticoagulant would further impair clot formation and could lead to serious or uncontrolled bleeding. That’s why a history of a bleeding disorder is a contraindication to using enoxaparin.

The other conditions listed don’t by themselves create an absolute prohibition. A history of congestive heart failure, kidney stones, or asthma isn’t an inherent reason to withhold enoxaparin, though renal function can affect dosing or require caution in some cases.