NCLEX-RN Case Study: Venous Thromboembolism (VTE)
Client Scenario: A 61-year-old female presents with sudden shortness of breath and leg pain
after a minor bicycle accident.
Item 1: Findings Requiring Immediate Follow-up
Dyspnea (Shortness of breath)
Fine crackles in bilateral bases
Sharp chest pain on inspiration (Pleuritic pain)
Pitting lower extremity edema
Increasing pain and swelling in the leg
Item 2: Virchow’s Triad (Risk Factors)
Client Finding Stasis Injury Hypercoagulable
Varicose veins ✅
Works seated at a desk job ✅
Injured leg in bicycle accident ✅
Hormone replacement therapy ✅
Item 3: Highest Risks
The client is at highest risk for developing bleeding, heart failure, and respiratory failure.