DVT Mylab

c ("Take frequent breaks to prevent sitting for prolonged periods of time.")

A 50-year-old patient is being discharged after treatment for a deep venous thrombosis (DVT). Which instruction should the nurse provide to the patient to reduce the risk of future DVT development? a) "Sitting is permitted as long as the legs are not crossed." b) "Standing is preferred over sitting, so think about altering your work environment." c) "Take frequent breaks to prevent sitting for prolonged periods of time." d) "It is best to stand and wear tight-fitting hose when working."

a

A client at 27​ weeks' gestation is diagnosed with deep venous thrombosis. Which collaborative therapy should the nurse​ anticipate? a) Prescription for heparin therapy b) Immediate emergency cesarean section c) Prescription for warfarin therapy d) Increased risk of hemorrhage after delivery

c (Pain and edema in the affected leg)

A middle-aged patient has a history of deep venous thrombosis (DVT). Which manifestation should the nurse identify as most likely to be a complication from the DVT? a) Circulatory stasis in the unaffected leg b) Hypercoagulability c) Pain and edema in the affected leg d) Hypotension

b (Multiple thrombi lodged in femoral vein)

A patient has been treated for deep venous thrombosis (DVT) conservatively with anticoagulant therapy with little results. Which is an indication for a venous thrombectomy? a) Recurrent DVTs b) Multiple thrombi lodged in femoral vein c) Superficial thrombophlebitis in the great saphenous vein d) Atrial fibrillation

a ("The velocity of blood flow through the veins is measured.")

A patient is scheduled for a duplex venous ultrasonography to assist in the diagnosis of a deep venous thrombosis (DVT). Which information should the nurse provide to the patient regarding this diagnostic test? a) "The velocity of blood flow through the veins is measured." b) "A balloon catheter is inserted through the blood vessel to the site of the lesion." c) "Thrombi are removed to improve venous circulation and prevent pulmonary embolism." d) "An injected contrast medium is used to assess venous thrombosis."

c (Magnetic resonance imaging (MRI))

A patient with a history of deep venous thrombosis reports a sudden onset of severe pain in the pelvis. Which diagnostic test should the nurse expect to be prescribed for this patient? a) Plethysmography b) Ascending contrast venography c) Magnetic resonance imaging (MRI) d)Duplex venous ultrasonography

a

Adolescent and young adult women are at a greater risk for thrombosis. Which accurately explains one reason for the increased​ risk? a) Use of contraceptives containing estrogen and progestin b) Prematurity at birth c)Increased incidence of sepsis d) Increased blood volume and pressure in the bilateral lower extremities

postthrombotic syndrome

Pain and edema in the affected extremity with DVT indicates _________________.

dissolving

Pain does not increase with _______________ of the thrombosis

b (The patient has removed the antiembolism stockings.)

The home care nurse is evaluating a patient who was recently discharged from the hospital for deep venous thrombosis (DVT). Which observation indicates that additional teaching is required? a) The patient is sitting with the legs elevated. b) The patient has removed the antiembolism stockings. c) The patient is taking an anticoagulant as prescribed. d) The patient frequently changes position.

d ("I take gingko supplements for cognition.")

The nurse is assessing a patient who recently started warfarin. Which patient statement requires follow-up? a) "I will need to follow up with my healthcare provider regularly." b) "I will continue taking heparin for a few days because the full effect of warfarin is delayed." c) "I will stay on warfarin for at least 3 months." d) "I take gingko supplements for cognition."

d (Running a marathon)

The nurse is assessing a patient with a suspected deep vein thrombosis (DVT). Which event should the nurse not consider associated with this diagnosis? a) Recent lengthy surgery b) Immobilization c) Recent hospitalization d) Running a marathon

a (Raising the head of the bed)

The nurse is assessing a patient with deep vein thrombosis (DVT) who reports shortness of breath and chest pain. The nurse notes the patient has rapid, shallow breathing, and an oxygen saturation of 89%. Which intervention should the nurse implement immediately? a) Raising the head of the bed b) Placing the patient's legs on a pillow c) Getting the patient out of bed d) Ambulating the patient

d (Current calf pain with walking)

The nurse is assessing an 83-year-old patient. Which finding should concern the nurse the most? a) Osteoarthritis of both wrists b) Total hip replacement 5 years ago c) History of hypertension d) Current calf pain with walking

d (Low molecular weight heparin)

The nurse is caring for a 2-year-old patient with a diagnosis of deep venous thrombosis. Which collaborative therapy should the nurse anticipate giving immediately? a) IV heparin b) Factor Xa inhibitor c) Oral warfarin d) Low molecular weight heparin

a, b, d, e

The nurse is caring for a client admitted with new onset atrial fibrillation. Which intervention should be included in the plan of​ care? (Select all that​ apply.) a) Monitor for bilateral edema. b) Monitor for tenderness and warmth of bilateral lower extremities. c) Teach the client to report​ sharp, stabbing pain in calf. d) Assess extremities for cyanosis. e) Elevate the foot of the bed with knees slightly flexed.

c

The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority​? a) Stroke scale assessment b) Level of consciousness c) Bilateral breath sounds d) EKG rhythm and rate

c

The nurse is caring for a client who had a total hip replacement 8 hours ago. The nurse should question which​ order? a) Begin prophylactic anticoagulant therapy per protocol. b) Apply an intermittent pneumatic compression device. c)Keep foot of bed flat and knees straight. d) Begin early mobilization and leg exercises.

d (Avoid tight-fitting garments or stockings that bind)CCF

The nurse is caring for a patient admitted with a diagnosis of deep venous thrombosis (DVT). Which measure should the nurse implement to relieve symptoms and reduce inflammation? a) Apply cold compresses for 20 minutes every 2 hours. b) Elevate the head of the bed and ensure the knees remain straight. c) Encourage the patient to ambulate every 4 hours while awake. d) Avoid tight-fitting garments or stockings that bind

a (Begin heparin therapy)

The nurse is caring for a patient at 24 weeks' gestation who is diagnosed with deep venous thrombosis (DVT). Which collaborative therapy should the nurse anticipate? a) Begin heparin therapy. b) c) d)

b ("What medications are you currently taking?")

The nurse is caring for a patient with a history of deep venous thrombosis (DVT) who is scheduled for a total hip replacement. Which assessment question is a priority for the nurse? a) "Do you have calf pain when walking?" b) "What medications are you currently taking?" c) "Do you have any swelling in your legs?" d) "Can you show me how far you can bend your legs?"

b (No symptoms)

The nurse is caring for an older adult patient diagnosed with deep venous thrombosis. Which clinical manifestation should the nurse expect the patient to exhibit? a) Dull, aching pain in the unaffected leg b) No symptoms c) Increased capillary refill in the affected leg d) Swelling of the unaffected leg

d (Discontinue heparin - Heparin or warfarin will most likely not be used as DVT prophylaxis due to the risk of falls for this patient who is wheelchair bound.)

The nurse is discharging an 89-year-old patient who is wheelchair bound and who has been receiving heparin therapy. Which order should the nurse anticipate? a) Transition from heparin therapy to warfarin. b) Continue heparin therapy. c) Place pillows under the knees to ensure the knees remain sharply flexed. d) Discontinue heparin.

b ("As the thrombosis dissolves, pain may increase.")

The nurse is discussing the care of a patient with a colleague. The patient, who reports pain in the affected extremity, is being treated for deep vein thrombosis (DVT). Which statement by the colleague indicates a need for further teaching? a) "Swelling places pressure on pain receptors." b) "As the thrombosis dissolves, pain may increase." c) "Inflammed tissue releases substances that stimulate pain receptors." d) "An increase in pain may be caused by extension of the thrombosis."

c (Teaching ankle extension and flexion exercises)

The nurse is planning care for a patient who has been prescribed bedrest after abdominal surgery. Which action by the nurse helps to prevent development of a deep venous thrombosis (DVT) in this patient? a) Limiting fluids and restricting caloric intake b) Placing a pillow under the patient's knees c) Teaching ankle extension and flexion exercises d) Teaching the proper way to cross the legs

c

The nurse is preparing discharge instructions for a patient prescribed warfarin for a deep venous thrombosis. Which instruction should the nurse include? a) "Use a hard-bristle toothbrush." b)"Take the warfarin at bedtime each day." c) "Notify the healthcare provider of bleeding or bruising." d) "Omit warfarin on the days when laboratory tests are ordered."

a (LMWH prevents blood clots from forming.)

The nurse is preparing to administer low molecular weight heparin (LMWH) subcutaneously. The nurse understands which statement to be accurate? a) LMWH prevents blood clots from forming. b) All people over the age of 80 should receive LMWH as deep venous thrombosis (DVT) prophylaxis. c) Patients receiving this medication will need to take it for the rest of their life. d) The medication dissolves clots in the legs.

a (The patient with a recently fractured femur)

The nurse is reviewing assigned patients to determine who is at risk for developing a deep venous thrombosis (DVT). Which patient should the nurse identify as a candidate for DVT preventive therapy? a) The patient with a recently fractured femur b) The patient with a history of diabetes mellitus c) The patient with elevated cholesterol levels d) The patient with a history of hypertension

a, b, e

The nurse is reviewing the personal and medical history of several clients. Which finding indicates that a client is at risk for the development of a deep venous​ thrombosis? (Select all that​ apply.) a) Hormone therapy b) Lung cancer c) Hypercholesterolemia d) Diabetes mellitus e) 8​ weeks' gestation

b ("Include periods of activity when traveling.")

The nurse is teaching a 25-year-old woman who is taking oral contraceptives. Which instruction should the nurse include to minimize the risk for developing a deep venous thrombosis (DVT)? a) "Decrease your alcohol consumption." b) "Include periods of activity when traveling." c) "Consume a low-fat diet." d) "Avoid high-sodium foods."

d (The patient will wear antiembolism stockings while on bedrest)

The nurse reviews the care plan for a patient with a diagnosis of deep venous thrombosis (DVT). Which item in the plan of care should the nurse question? a) Warm, moist compresses will be applied over the affected vein. b)The patient will remain on strict bedrest. c) Legs will be elevated with knees slightly flexed. d) The patient will wear antiembolism stockings while on bedrest.

A, B, D, E

The nurse should assess which client for possible deep venous​ thrombosis? (Select all that​ apply.) a) The client with cyanosis of the right lower extremity b) The client with bilateral lower extremity edema but slightly greater in the left lower extremity c) The client with​ sharp, stabbing pain in the right lower extremity only when walking d) The client who recently had surgery but has no reports of pain or swelling in the lower extremities e) The client with capillary refill less than 3 seconds in one lower extremity and 4 seconds in the other

d (Increased blood coagulability)

When laboratory tests indicate that a patient has circulatory stasis, the nurse suspects that the patient has a deep venous thrombosis (DVT). Which additional pathologic factor supports the nurse's suspicion? a) Tissue anoxia b) Tissue hypoxia c) Increased blood pressure d) Increased blood coagulability

b (A 17-year-old woman using hormonal contraception)

Which patient is at the greatest risk for developing a DVT? a) A 3-year-old born via cesarean section at full term b) A 17-year-old woman using hormonal contraception c) A 15-year-old football player d) A 65-year-old jogger

a, b, c

While conducting an​ assessment, the nurse concludes that a client is at risk for developing a deep venous thrombosis. Which assessment finding led the nurse to this​ conclusion? (Select all that​ apply.) a) A myocardial infarction 2 years ago b) Treatment for bladder cancer c) A history of atrial fibrillation d) Taking​ over-the-counter medication for arthritis e) Controlling type 2 diabetes mellitus with diet and exercise

b (The patient is receiving warfarin.)

While making rounds on assigned patients, the nurse notes an ampule of vitamin K at the bedside of one patient. Which should the nurse understand from the presence of this medication? a) The patient is receiving intravenous heparin. b) The patient is receiving warfarin. c) The patient is receiving low molecular weight heparin injections. d) The patient is receiving high-dose aspirin therapy.

c ("This medication prevents blood clots from forming in your leg but must be given under the skin to be absorbed.")

While the nurse prepares an injection of an anticoagulant, the 82-year-old patient asks why injections will be given in the stomach if the problem is in the leg. Which response by the nurse is accurate? a)"Didn't your healthcare provider tell you that you need to take these shots in your stomach for the rest of your life?" b)"People over the age of 80 should be receiving this medication in their stomach so that blood doesn't pool in the legs." c)"This medication prevents blood clots from forming in your leg but must be given under the skin to be absorbed." d)"This medication dissolves any clots in your legs but must be given under the skin to be absorbed."

Low molecular weight heparin

____________________ is typically the initial DVT treatment for infants and children. Over time, the patient will be transitioned to oral warfarin.