Week 10: Concept of Clotting

X-linked recessive trait

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. How is hemophilia inherited?

With each pregnancy, there is a 50% chance of a carrier transmitting the condition or being a carrier, depending on the sex of the child

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. The mother shares that she is 4 weeks pregnant and questions as to whether this pregnancy will result in a child with hemophilia. What is the best response by the nurse?

Sengstaken-Blakemore

A client is a candidate for intubation as a result of bleeding esophageal varices. Which type of the tube should the nurse anticipate will most likely be used to meet the needs of this client?

Right side-laying

A client is admitted to the hospital wit suspected liver disease, a needle biopsy of the liver is preformed. After the procedure. the nurse should maintain the client in what position?

Pruritus

A client is admitted to the hospital with a history of cancer of the liver and jaundice. In relation to the jaundice, the nurse expects the client to report the presence of what symptom?

Acetylsalicylic acid (aspirin)

A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when taking Warfarin?

Activated partial thromboplastin time (APTT) is two times the control value

A client is started on a continuous infusion of heparin. Which finding does the nurse use to conclude that the intervention is therapeutic?

Abrupt onset of symptoms

A client with a history of atrial fibrillation has a stroke, and vascular dementia (multiinfarct dementia) is diagnosed. In a comparison of assessment findings in clients with vascular dementia of Alzheimer type, which factor is unique to vascular dementia?

Plantar flexion and dorsiflexion exercises

A client with a history of herniated nucleus pulposus is scheduled for a total hip replacement. To prevent the most common complication associated with this type of surgery, the nurse should instruct the client to preform which activity?

Vitamin K

A client with liver dysfunction states, "my gums have been bleeding spontaneously?". The nurse identifies small hemorrhagic lesions on the clients face. Which vitamin does the nurse conclude the client needs?

Hemorrhage

An underweight client has autoimmune hemolytic anemia that has been unresponsive to corticosteroids, and a splenectomy is scheduled. For what complication should the nurse assess the client in the immediate postoperative period?

Contact the healthcare provider to determine which anticoagulant therapy should be prescribed for this client

Four days after the client's total hip arthroplasty, the nurse is preparing to transfer the client to a rehabilitation center. Before admission, the client took warfarin sodium daily for a history of pulmonary embolus. While hospitalized the client received subcutaneous heparin two times a day. The nurse does not see any anticoagulant therapy listed on the client's transfer prescriptions. What should the nurse do?

The stockings should be applied before getting out of bed

Knee-length elastic support stockings are prescribed for a client with varicose veins. What should the nurse teach the client about the elastic stockings?

"A pillow under the knees can result in clot formation because it slows blood flow."

Postoperatively, a client asks, "could I have a pillow under my knees? My legs feel stretched." With what response can the nurse best reinforce the preoperative teaching?

0.85 mL

The healthcare provider has prescribed enoxaparin 1mg/kg for a client who had a total knee replacement. The client weighs 187 pounds (85kg). This medication is available in a concentration of 30mg/0.3mL. What dose will the nurse administer in milliliters?

Administer in the abdomen area only

The healthcare provider prescribes enoxaparin to be administered subcutaneously daily to a client who had a total knee replacement. To ensure client safety, which measure would the nurse take when administering this medication?

A 59-year-old who had a knee replacement

A nurse caring for a variety of clients. In which client is the most essential for the nurse to implement measures to prevent pulmonary embolism?

Prolonged bleeding time

A nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?

Increased blood viscosity

A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "why do I have an increased tendency to develop blood clots?

An obese client with leg trauma

A nurse is caring for a group of clients on a medical surgical unit. Which client has the highest risk for developing a pulmonary embolism?

Ibuprofen

A nurse is reviewing a list of current medications with a client who has developed gastrointestinal bleeding. Which medication prescription should the nurse discuss with the primary healthcare provider?

Provide prophylaxis against postoperative thrombus formation

Enoxaparin 40mg subcutaneous daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for what purpose?

Helps to stop bleeding if any should occur

Immediately after biopsy the nurse placed the client onto the right side. Which reason explains the use of the right side-laying position?

There is a 25% chance that the baby will be affected

The mother of the boy with recently diagnosed with hemophilia is pregnancy with her second child. She asks the nurse what the chances are that her baby will also have hemophilia. How should the nurse respond?

Joints

The school nurse is assessing a 10-year-old boy with hemophilia who has fallen while playing in the schoolyard. At which site does the nurse expect to find internal bleeding?

Check the back and sides of the operative site

What intervention should the nurse implement when caring for a client 24-hours post-thyroidectomy?

Encourage the client to ambulate with assistance every few hours

What should the nurse do to prevent thrombus formation after most surgeries?

Epistaxsis

What should the nurse monitor when a client is receiving a platelet aggregation inhibitor such as clopidogrel?

Report episodes of spontaneous bleeding

What should the nurse teach a client who is taking Warfarin?

Thrombosis

Which adverse effect can be seen in a female client with gonadotropin deficiency and undergoing hormone replacement therapy?

Sheehan's syndrome

Which condition is characterized by hemorrhage after a pregnant female delivers?

Oxytocin

Which oxytocic drug may help to control uterine bleeding post-delivery and promote milk ejection?

Thromboembolic disorders

Which risk is associated with estrogen therapy in a client who smokes?