Deep Vein Thrombosis

A client with a deep vein thrombosis experiences acute chest pain and dyspnea. The nurse should perform which of the following? (Select all that apply.) 1. Elevate the head of the bed 2. Check the pulse in the affected extremity 3. Flex the client's knees and place in a supine position 4. Notify the physician of the situation

1. Elevate the head of the bed 4. Notify the physician of the situation

The nurse on the postpartum unit is reviewing clients' charts. Which of the following clients will the nurse plan to monitor closely due to increased risk for deep vein thrombosis (DVT)? The client with: (Select all that apply.) 1. Pregnancy-induced hypertension (PIH) 2. High parity 3. Varicose veins 4. Prematurity 5. Multiple births

1. Pregnancy-induced hypertension (PIH) 2. High parity 3. Varicose veins

The nurse determines that teaching has been effective for a client with deep vein thrombosis (DVT) when the client states: 1. "I'll use a hard-backed, upright chair instead of my recliner when sitting." 2. "I'll get my blood drawn as scheduled and notify my doctor if I have unusual bleeding or bruising." 3. "I understand why I am not allowed to exercise for the next 6 weeks and will take it easy." 4. "I'll have my partner buy a low-cholesterol cookbook and we'll visit a dietician for a low-cholesterol diet."

2. "I'll get my blood drawn as scheduled and notify my doctor if I have unusual bleeding or bruising."

The nurse is conducting a teaching session at the community center about deep vein thrombosis (DVT). Which of the following attendees at the session does the nurse determine is most at risk for developing DVT? 1. A 41-year-old client who underwent a laparoscopic cholecystectomy 2. A 40-year-old client who smokes and uses oral contraceptives 3. A 63-year-old client post-CVA on anticoagulant therapy 4. A 30-year-old client who is at 1 week postpartum

2. A 40-year-old client who smokes and uses oral contraceptives

A standard of nursing practice associated with the care of a client with deep vein thrombosis includes which of the following? 1. Encourage ambulation to maintain circulation 2. Elevate the legs on a pillow, above the level of the heart to promote venous return 3. Massage the calf to promote vasodilation and reabsorption of excess fluid 4. Remove antiembolic stockings throughout the night to prevent venous stasis

2. Elevate the legs on a pillow, above the level of the heart to promote venous return

Which of the following terms refers to the blood coagulating faster than normal, causing thrombin and other clotting factors to multiply? 1. Embolus 2. Hypercoagulability 3. Venous stasis 4. Venous wall injury

2. Hypercoagulability

Which of the following factors usually causes DVT? 1. Aerobic activity 2. Inactivity 3. Pregnancy 4. Tight clothing

2. Inactivity

A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The client asks the nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin sodium: 1. Stimulates the breakdown of specific clotting factors by the liver, and it takes 2-3 days for this is exhibit an anticoagulant effect. 2. Inhibits synthesis of specific clotting factors in the liver, and it takes 3 to 4 days for this medication to exert an anticoagulation effect. 3. Stimulates production of the body's own thrombolytic substances, but it takes 2-4 days for it to begin. 4. Has the same mechanism action of heparin, and the crossover time is needed for the serum level of warfarin sodium to be therapeutic.

2. Inhibits synthesis of specific clotting factors in the liver, and it takes 3 to 4 days for this medication to exert an anticoagulation effect.

Which of the following terms best describes the findings on cautious palpation of the vein in typical superficial thrombophlebitis? 1. Dilated 2. Knotty 3. Smooth 4. Torturous

2. Knotty (Varicose veins are dilated and torturous. Normal veins are smooth.)

The nurse is caring for a client with a deep vein thrombosis (DVT) and selects ineffective tissue perfusion as a priority nursing diagnosis based on which of the following assessments? 1. Mild, aching pain described by the client 2. Pallor and coolness of the affected leg 3. Temperature of 102 degrees F 4. Heart rate of 62

2. Pallor and coolness of the affected leg

The nurse teaches the family of an older client who is at risk for developing deep vein thrombosis (DVT) about prevention of the condition. Which of the following will the nurse include in the teaching? 1. Apply elastic hose if swelling develops. 2. Position client to promote venous return. 3. Place pillows under the knees so that hips are flexed. 4. Keep feet squarely on the floor when sitting in a chair.

2. Position client to promote venous return.

Which technique is considered the gold standard for diagnosing DVT? 1. Ultrasound imaging 2. Venography 3. MRI 4. Doppler flow study

2. Venography

The nurse is talking with a client with suspected deep vein thrombosis (DVT). The client asks the nurse if testing for the disease is invasive. The nurse tells the client that there is a noninvasive diagnostic test for DVT, called: 1. Electrocardiography. 2. Cardiac catheterization. 3. Plethysmography. 4. Ascending venography.

3. Plethysmography.

Which of the following terms is used to describe a thrombus lodged in the lungs? 1. Hemothorax 2. Pneumothorax 3. Pulmonary Embolism 4. Pulmonary Hypertension

3. Pulmonary Embolism

Which of the following characteristics is typical of the pain associated with DVT? 1. Dull ache 2. No pain 3. Sudden onset 4. Tingling

3. Sudden onset

A significant cause of venous thrombosis is: 1. Altered blood coagulation 2. Stasis of blood 3. Vessel wall injury 4. All of the above

4. All of the above

The nurse is assessing a postpartum woman and determines that the client may have a deep vein thrombosis (DVT) when the nurse notes which of the following manifestations? 1. Pain in the abdomen 2. Positive pulses in the affected leg 3. Pain located in the foot 4. Ankle and leg edema

4. Ankle and leg edema

Which of the following treatments can relieve pain from Deep Vein Thrombosis? 1. Application of heat 2. Bed rest 3. Exercise 4. Elevation

4. Elevation

The nurse is caring for a client who is to undergo a venous thrombectomy. The nurse tells the client that the thombus to be removed is most likely located in the: 1. Femoral artery. 2. Posterior tibial vein. 3. Peroneal vein. 4. Femoral vein.

4. Femoral vein.

Which of the following conditions causes intermittent claudication (cramp-like pains in the leg)? 1. Inadequate blood supply 2. Elevated leg position 3. Dependent leg position 4. Inadequate muscle oxygenation

4. Inadequate muscle oxygenation

Which of the following medical treatments should be administered to treat intermittent claudication? 1. Analgesics 2. Warfarin (Coumadin) 3. Heparin 4. Pentoxiphylline (Trental)

4. Pentoxiphylline (Trental)

Which of the following terms is used to describe pain in the calf due to sharp dorsiflexion of the foot? 1. Dyskinesia 2. Eversion 3. Positive Babinski's reflex 4. Positive Homan's sign

4. Positive Homan's sign