NRNP 6566 Week 5 Knowledge Check Quiz Q&A

NRNP 6566 Week 5 Knowledge Check Quiz Q&A • Question 1 Renee is a 56-year-old female that fell about a week ago and sprained her R ankle. She states she has been taking it easy and laying around her home for most of the last week so it would heal. Yesterday she noticed that her calf was sorer than it had been, and her R foot and ankle were more swollen than they had been. She came to urgent care today because she was afraid that the injury was worse than she thought it was. T 99.2 BP 128/77 HR 88 RR 18 Wt 126 pounds Heart S1S2 regular rate and rhythm, Lungs clear, Abdomen soft R ankle is swollen but not discolored. 1-2+ edema noted Dorsiflexion causes some discomfort in the ankle and calf area. Pedal pulses equal bilaterally The APRN orders a duplex ultrasound of the right leg. Radiology reports that the ultrasound is positive for a deep vein thrombosis. How would you manage this patient (include labs and meds)? Correct Answer: It is appropriate to treat her on an outpatient basis with appropriate education and support. Obtain baseline PT/INR, PTT, CBC labs Begin Xarelto 15 mg po bid Patient education on medication and potential complications – return to emergency department for new onset shortness of breath • Question 2 A 26-year-old female is currently on Lovenox 80 mg subq daily. What labs should the APRN order to monitor this patient? Correct Answer: