DVT PE- PREP U

Following a total joint replacement, which complication has the greatest likelihood of occurring? A. displacement of the new joint B. deep vein thrombosis (DVT) C. polyuria D. wound evisceration

B. deep vein thrombosis (DVT)

A 45-year-old male client with a confirmed DVT is being discharged from the ED. Which of the following client statements indicates that the client has received proper nursing instruction and understands how to manage his condition? A. "I need to do my leg exercises five times or more every hour." B. "I should lie on my side with my knees bent when sleeping." C. "I should try not to drink too much during the daytime." D. "I need to ice my leg every 2 hours for about 20 minutes."

A. "I need to do my leg exercises five times or more every hour."

Which instructions should the nurse include when developing a teaching plan for a client being discharged from the hospital on anticoagulant therapy after having deep vein thrombosis (DVT)? Select all that apply. A. Avoid surface bumps because the skin is prone to injury. B. Prevent DVT because of risk of pulmonary emboli. C. Use garlic and ginger, which may decrease bleeding time. D. Walk daily as a good exercise. E. Perform foot/leg exercises and walk around the airplane cabin on long flights. F. Check urine for bright blood and a dark smoky color.

A. Avoid surface bumps because the skin is prone to injury. B. Prevent DVT because of risk of pulmonary emboli. D. Walk daily as a good exercise. E. Perform foot/leg exercises and walk around the airplane cabin on long flights. F. Check urine for bright blood and a dark smoky color.

A deep vein thrombosis (DVT) results in vascular vasodilation, local tissue congestion, and increased capillary permeabilty. The nurse would expect to see which of the following body responses in a client with a DVT? A. Erythema and pain B. Impaired functioning and drainage C. Edema and subnormal skin temperature D. Tenting skin turgor and warmth

A. Erythema and pain

Which of these measures would the nurse implement for prevention of deep vein thrombosis (DVT) in a postoperative client? A. Placing graduated compression stockings on the client. B. Teaching the client about the use of incentive spirometer. C. Encouraging the client to elevate the head of bed. D. Elevating bilateral legs when lying in the bed.

A. Placing graduated compression stockings on the client.

A client with a recent diagnosis of deep vein thrombosis (DVT) has sudden onset of shortness of breath and chest pain that increases with a deep breath. The nurse should first: A. assess the oxygen saturation. B. call the health care provider (HCP). C. perform range of motion exercises in the involved leg. D. administer morphine sulfate 2 mg IV.

A. assess the oxygen saturation.

The client is admitted with left lower leg pain, a positive Homans' sign, and a temperature of 100.4° F (38° C). The nurse should assess the client further for signs of: A. IV drug abuse. B. deep vein thrombosis (DVT) in the left leg. C. intermittent claudication. D. aortic aneurysm.

B. deep vein thrombosis (DVT) in the left leg.

Which client is at risk for pulmonary embolism? A client with: A. deep vein thrombosis (DVT). B. varicose veins. C. a small abdominal aneurysms. D. arteriosclerosis.

A. deep vein thrombosis (DVT).

Which of the following are risk factors related to venous stasis for DVT and pulmonary embolism? A. Surgery B. Obesity C. Pacing wires D. Trauma

B. Obesity

A nurse is administering enoxaparin, (anticoagulant) to a patient with DVT, via the subcutaneous route. Which of the following is a recommended guideline when administering a subcutaneous injection? A. Sites commonly used for a subcutaneous injection are the inner surface of the forearm and the upper back, under the scapula. B. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis. C. Pinching is advised for obese patients to lift the adipose tissue away from underlying muscle and tissue. D. Subcutaneous injections are administered at a 30- to 45-degree angle based on the amount of subcutaneous tissue present.

B. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis.

Heparin therapy is usually considered therapeutic when the patient's activated partial thromboplastin time (aPTT) is how many times normal? A. .25 to .75 B. .5 to 1 C. 2 to 2.5 D. 2.5 to 3

C. 2 to 2.5

You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client? A. Examine the client's mental and emotional status. B. Examine the extremities for skin lesions. C. Examine the legs for color, capillary refill time, and tissue integrity. D. Examine for pain around the shoulder and neck region.

C. Examine the legs for color, capillary refill time, and tissue integrity.

A client has had oral anticoagulation ordered. What should you monitor for when your client is taking oral anticoagulation? A. Vascular sites for bleeding B. Hourly IV infusion C. Prothrombin time (PT) or international normalized ratio (INR) D. Urine output

C. Prothrombin time (PT) or international normalized ratio (INR)

A patient who was admitted to the hospital with a diagnosis of thrombophlebitis 1 day ago suddenly develops complaints of chest pain and shortness of breath and is visibly anxious. The nurse immediately assesses the patient for other signs and symptoms of which of the following problems? A. Pulmonary edema B. Myocardial infarction C. Pulmonary embolism D. Pneumonia

C. Pulmonary embolism

A patient is receiving enoxaparin (Lovenox) and warfarin (Coumadin) therapy for a venous thromboembolism (VTE). Which lab value indicates that anticoagulation is adequate and enoxaparin (Lovenox) can be discontinued? A. The patient's prothrombin time (PT) is 0.5 times normal. B. The patient's K+ level is 3.5. C. The patient's international normalized ratio (INR) is 2.5. D. The patient's activated partial thromboplastin time (aPPT) is half of the control value.

C. The patient's international normalized ratio (INR) is 2.5.

The nurse is caring for a 44-year-old female client with a diagnosis of deep vein thrombosis (DVT) in her left lower leg. What assessment method should the nurse perform first? A. Palpate the popliteal and posterior tibial pulses of both legs. B. Lightly palpate the left leg, assessing for edema. C. Assess for pain by deeply palpating the left leg. D. Inspect the left lower leg for areas of redness.

D. Inspect the left lower leg for areas of redness.

When the nurse is obtaining a health history from an older adult, which information in the history is a risk factor associated with deep vein thrombosis (DVT)? A. The client walks 30 minutes every day. B. The client wears support stockings. C. The client lives alone. D. The client recently had abdominal surgery.

D. The client recently had abdominal surgery.

A nurse is instructing a client about using antiembolism stockings. Antiembolism stockings help prevent deep vein thrombosis (DVT) by: A. elevating the extremity to prevent pooling of blood. B. encouraging ambulation to prevent pooling of blood. C. providing warmth to the extremity. D. forcing blood into the deep venous system.

D. forcing blood into the deep venous system.

In order to prevent deep vein thrombosis (DVT) following abdominal surgery, the nurse should: A. limit fluids to 1000 ml in 24 hours. B. encourage deep breathing. C. assist the client to remain sedentary. D. use pneumatic compression stockings.

D. use pneumatic compression stockings.