Clotting

Which statement best describes the function of fibrinogen? A. Helps maintain osmotic pressure. B. Plays a key role in forming blood clots. C. Helps prevent or modify some types of infectious diseases. D. Functions primarily as an immunological agent.

B. Plays a key role in forming blood clots.

The nurse is caring for a 79-year-old who has returned to the postsurgical unit following abdominal surgery. The client is unable to ambulate and is now refusing to wear an external pneumatic compression stocking. The nurse should explain that refusing to wear external pneumatic compression stockings increases the risk of what postsurgical complication? A. Clotting B. Infection C. Respiratory distress D. Hemorrhage

A. Clotting

A client who sustained a pulmonary contusion in a motor vehicle crash develops a clot in the lungs. What is the priority nursing concern with this client? A. Ineffective breathing pattern B. Acute pain C. Excess fluid volume D. Activity intolerance

A. Ineffective breathing pattern

Excessive or Ineffective Clotting: Tachypnea, Tachycardia, Hypotension

Either, not enough information

Excessive or Ineffective Clotting: Swelling in the lower extremities

Excessive clotting because the blood can not move forward

Excessive or Ineffective Clotting: Respiratory Distress

Excessive clotting. You have a decrease in oxygen which means a decrease in perfusion.

Excessive or Ineffective Clotting: Hematuria and occult blood in the stool

Ineffective Clotting

Excessive or Ineffective Clotting: Enlarged spleen

Ineffective clotting becuase the spleen holds our red blood cells, if it is enlarged, there are more red blood cells then there should be

Purpura

Pinpoint purple bruises

Petechia

Pinpoint red spots

Prothrombin

Protein that helps clot blood

Erythrocyte

Red blood cells

Hemostasis

The perfect clotting

Clotting process

Vasoconstriction- platelet plug - activation of clotting factors - coagulation cascade

The nurse is aware that which of the following nutrients promotes normal blood clotting? A. Vitamin C B. Vitamin K C. Magnesium D. Zinc

B. Vitamin K

Inefficient Clotting

Bleeding. Increase in perfusion

Ecchymoses

Bruising

Thrombin

Coagulation factor 2

Intrinsic Pathway

Collogen exposure at the surface of blood vessels

The nurse is caring for a client with ineffective clotting who states they have pain in both knees that began this week. The nurse notes bruises on both knees. Based on the ineffective clotting and the report of pain, what does the nurse suspect is the cause of the pain? A. Abuse B. Thromboembolism C. Inflammation D. Bleeding

D. Bleeding

Embolus

A blockage of the artery

A nurse is a caring for a post-operative client. What instruction should the nurse provide to the client as a precautionary measure to prevent clotting complications? A. Avoid sitting in one position for long periods of time. B. Perform deep-breathing exercises every 2 hours. C. Try to relax with pillows under the knees. D. Refrain from elevating legs above the heart.

A. Avoid sitting in one position for long periods of time.

About 10 days after giving birth, a new mother visits her primary care provider with localized symptoms of redness, swelling, warmth, and a hard, inflamed vessel in one leg. The nurse should suspect which condition? A. Excessive clotting B. Ineffective clotting C. Impaired thermoregulation D. Impaired tissue integrity

A. Excessive clotting

The parents of a child with ineffective clotting ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest? A. Soccer B. Rugby C. Swimming D. Gymnastics

C. Swimming

A 51-year-old man is being discharged from the hospital following treatment with anticoagulants for excessive clotting and a clot in the right leg. What will the nurse include in the discharge education? A. Change the roue of administration to intravenous if oral medications are ineffective. B. Massage the leg daily to promote circulation. C. Alternate the type of anticoagulant drug each month. D. Consider safety measures to prevent bleeding and know the signs of bleeding.

D. Consider safety measures to prevent bleeding and know the signs of bleeding.

The nurse is assigned to care for a client who has had an open reduction and internal fixation of a fractured right femur .2 days ago. The nurse is listening to the client's lungs and notes tachypnea, and when moving the gown, observes petechial hemorrhages on the skin of the chest. The client's oxygen saturation is 89%. The client states they feel pain in their chest. What is the priority nursing action? A. Increase IV fluids for possible hemorrhage. B. Administer pain medication. C. Request medications for an allergic reaction. D. Raise the head of bed and notify the provider.

D. Raise the head of bed and notify the provider.

Clotting

Formation of jelly like substance over the ends or within the walls of blood vessel, with stoppage of blood flow.

Menorrhagia

Heavy mensural periods

Fibrin

Most important part, provides mesh work around clot to hold it there

Extrinsic Pathway

Tissue damage

Excessive clotting

Too many clots. Causes a decrease in perfusion, oxygenation, and cognition