PrepU-DVT, Angina, PE
Patients who are taking beta-adrenergic blocking agents should be cautioned not to stop taking their medications abruptly because which of the following may occur? A. Formation of blood clots B. Worsening angina C. Thrombocytopenia D. Internal bleeding
B. Worsening angina
Following a total joint replacement, which complication has the greatest likelihood of occurring? A. Polyuria B. wound evisceration C. displacement of new joint D. deep vein thrombosis (DVT)
D. deep vein thrombosis (DVT)
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. Inspect the left lower leg for areas of redness B. Palpate the popliteal and posterior tibial pulses of both legs C. lightly palpate the left leg, assessing for edema D. assess for pain by deeply palpating the left leg
A. Inspect the left lower leg for areas of redness
Knee-high sequential compression devices have been prescribed for a newly admitted client. The client reports new pain localized in the right calf area that is noted to be slightly reddened and warm to touch upon initial assessment. What should the nurse do first? A. Leave the compression devices off, and contact the health care provider to report the assessment findings. B. Offer analgesics as ordered, and apply the compression devices C. Leave the compression devices off, and report the assessment findings to the oncoming shift D. Massage the area of discomfort before applying the compression devices.
A. Leave the compression devices off, and contact the health care provider to report the assessment findings.
A nurse is providing education about hypertension to a community group. one client reports that his doctor has diagnosed him with hypertension, but that he feels just fine. he asks, "What would happen if i did not treat my hypertension?" Which of the following are possible consequences of untreated hypertension? Select all that apply. A. Myocardial infarction B. Pancreatitis C. Coronary artery disease D. Stroke E. Tension pneumothorax
A. Myocardial Infarction C. Coronary Artery disease D. Stroke
A 67-year-old female client is being discharged postoperative following pelvic surgery. The patient care instructions to prevent the development of a pulmonary embolus would include which of the following? A. Tense and relax muscles in lower extremities B. Begin estrogen replacement C. Wear tight fitting clothing D. Consume majority of fluid intake prior to bed
A. Tense and relax muscles in lower extremities
The nurse understands it is important to promote adequate tissue perfusion following cardiac surgery. Which of the following measures should the nurse complete to prevent deep venous thrombosis (DVT) and possible pulmonary embolism (PE) development? Select all that apply. A. avoid elevating the knees on the bed B. apply anti embolism stockings C. initiate passive exercises D. encourage the crossing of legs E. place pillows in the popliteal space
A. avoid elevating the knees on the bed B. apply anti embolism stockings C. initiate passive exercises
Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis (DVT). When assessing this client, the nurse is likely to detect: A. left calf circumference 1" larger than right B. a decrease in the left dorsal is pedis and posterior tibial pulses C. pallor and coolness of the left foot with decreased sensation D. loss of hair on the lower portion of the left leg and foot
A. left calf circumference 1" larger than the right.
Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication A. Atheroma B. Angina pectoris C. Atherosclerosis D. Ischemia
B. Angina pectoris
Which of the following signs and symptoms would the nurse expect in a client with angina? Select all that apply. A. Slowed respiratory rate B. Chest tightness C. General muscle aching D. Jaw pain E. Chest pressure F. Bradycardia
B. Chest tightness D. Jaw pain E. Chest pressure
A client newly diagnosed with deep vein thrombosis (DVT) of the left lower left extremity is on bed rest. The nurse should instruct the unlicensed assistive personnel (UAP) providing routine morning care for the client to: A. place one or two pillows under the client's left knee B. ensure that the lower extremity is elevated C. check that the legs are in a low, dependent position D. massage the leg and foot with lotion
B. Ensure that the lower extremity is elevated
A client is diagnosed with deep vein thrombosis (DVT). Which nursing diagnosis should receive highest priority at this time? A. Impaired gas exchange related to increased blood flow B. Ineffective peripheral tissue perfusion related to venous congestion C. Risk for injury related to edema D. Excess fluid volume related to peripheral vascular disease
B. Ineffective peripheral tissue perfusion related to venous congestion
Which of the following nursing actions would help prevent deep vein thrombosis in a patient who has had an orthopedic surgery? A. Instruct about using patient controlled analgesia, if prescribed B. Apply cold packs C. Apply anitembolism stockings D. Instruct about exercise, as prescribed
C. Apply anitembolism stockings
Nitroglycerin via the sublingual route is ordered for a client diagnosed with angina. Which of the following would the nurse include when teaching a client how to administer this drug? A. "Apply the medication to your upper chest area." B. "Tuck the medication into the inside of your cheek." C. "Place the medication under your tongue." D. "Swallow the medication with a sip of water."
C. Place the medication under your tongue.
How should the nurse instruct the client with unstable angina to use sublingual nitroglycerin tablets when chest pain occurs? "Sit down and then: A. Take one tablet, then if the pain persists take 2 additional tablets in 5 minutes. Call the MD if pain persists after 15 minutes B. Take one tablet and rest for 15 minutes. Call the MD if pain persists after 15 minutes C. Take one tablet. If pain persists after 5 minutes call 911. D. Take one table every 2-5 minutes until the pain stops
C. Take one tablet. If pain persists after 5 minutes call 911
As an initial step in treating a client with angina, the health care provider (HCP) prescribes nitroglycerin tablets, 0.3 mg given sublingually. This drug's principal effects are produced by: A. Improved conductivity in the myocardium B. Antispasmodic effects on the pericardium C. Vasodilation of peripheral vasculature D. Causing an increased myocardial oxygen demand
C. Vasodilation of peripheral vasculature
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. call the health care provider B. administer morphine sulfate 2 mg IV C. assess the oxygen saturation D. perform range of motion exercises in the involved leg
C. assess the oxygen saturation
A client is being treated for deep vein thrombosis (DVT) in the left femoral artery. The health care provider (HCP) has prescribed 60 mg of enoxaparin subcutaneously. Before administering the drug, the nurse checks the client's laboratory results. Based on these results, what should the nurse do? PT=12.5 s INR=2.0 s Platelet count=50,000 A. administer the medication as prescribed B. assess the client for signs of bruising on the extremities C. contact the pharmacist for a lower dose of the medication D. withhold the dose of the medication and contact the HCP.
D. Withhold the dose of the medication and contact the HCP
Which symptom should the nurse teach the client with unstable angina to report immediately to the health care provider (HCP)? A. Increased pain with stress B. Increased pain during sex C. Increased pain after physical activity D. A change in the pattern of chest pain
D. A change in the pattern of chest pain
Which of the following are risk factors related to venous stasis for DVT and pulmonary embolism? A. trauma B. pacing wires C. surgery D. obesity
D. Obesity
Which of these measures would the nurse implement for prevention of deep vein thrombosis (DVT) in a postoperative client? A. Teaching the client about the use of incentive spirometer B. Elevating bilateral legs when lying in the bed C. Encouraging the client to elevate the head of the bed D. Placing graduated compression stocking on the client
D. Placing graduated compression stocking on the client
