16.4 DVT PEARSON MODULE
QUESTIONS AND ANSWERS
Which patient is at the greatest risk for developing a DVT?
A 3-year-old born via cesarean section at full term
A 15-year-old football player
A 17-year-old woman using hormonal contraception
A 65-year-old jogger - Correct Answers -A 17-year-old woman using hormonal
contraception
The nurse is assessing a patient with a suspected deep vein thrombosis (DVT).
Which event should the nurse not consider associated with this diagnosis?
Recent hospitalization
Immobilization
Running a marathon
Recent lengthy surgery - Correct Answers -Running a marathon
The nurse is assessing a patient who recently started warfarin.
Which patient statement requires follow-up?
"I will stay on warfarin for at least 3 months."
"I will need to follow up with my healthcare provider regularly."
"I will continue taking heparin for a few days because the full effect of warfarin is
delayed."
"I take gingko supplements for cognition." - Correct Answers -"I take gingko
supplements for cognition."
The nurse is caring for a 2-year-old patient with a diagnosis of deep venous thrombosis.
Which collaborative therapy should the nurse anticipate giving immediately?
Low molecular weight heparin
Factor Xa inhibitor
Oral warfarin
IV heparin - Correct Answers -Low molecular weight heparin
The nurse is preparing discharge instructions for a patient prescribed warfarin for a
deep venous thrombosis.
Which instruction should the nurse include?
"Notify the healthcare provider of bleeding or bruising."
"Take the warfarin at bedtime each day."
"Omit warfarin on the days when laboratory tests are ordered."
, "Use a hard-bristle toothbrush." - Correct Answers -"Notify the healthcare provider of
bleeding or bruising."
The nurse is reviewing assigned patients to determine who is at risk for developing a
deep venous thrombosis (DVT).
Which patient should the nurse identify as a candidate for DVT preventive therapy?
The patient with a history of hypertension
The patient with a history of diabetes mellitus
The patient with a recently fractured femur
The patient with elevated cholesterol levels - Correct Answers -The patient with a
recently fractured femur
A patient is scheduled for a duplex venous ultrasonography to assist in the diagnosis of
a deep venous thrombosis (DVT).
Which information should the nurse provide to the patient regarding this diagnostic test?
"A balloon catheter is inserted through the blood vessel to the site of the lesion."
"Thrombi are removed to improve venous circulation and prevent pulmonary embolism."
"An injected contrast medium is used to assess venous thrombosis."
"The velocity of blood flow through the veins is measured." - Correct Answers -"The
velocity of blood flow through the veins is measured."
The nurse is discharging an 89-year-old patient who is wheelchair bound and who has
been receiving heparin therapy.
Which order should the nurse anticipate?
Continue heparin therapy.
Transition from heparin therapy to warfarin.
Place pillows under the knees to ensure the knees remain sharply flexed.
Discontinue heparin. - Correct Answers -Discontinue heparin.
The nurse is discussing the care of a patient with a colleague. The patient, who reports
pain in the affected extremity, is being treated for deep vein thrombosis (DVT).
Which statement by the colleague indicates a need for further teaching?
"As the thrombosis dissolves, pain may increase."
"An increase in pain may be caused by extension of the thrombosis."
"Inflammed tissue releases substances that stimulate pain receptors."
"Swelling places pressure on pain receptors." - Correct Answers -"As the thrombosis
dissolves, pain may increase."
The home care nurse is evaluating a patient who was recently discharged from the
hospital for deep venous thrombosis (DVT).
Which observation indicates that additional teaching is required?
The patient frequently changes position.
The patient is sitting with the legs elevated.
The patient is taking an anticoagulant as prescribed.
The patient has removed the antiembolism stockings. - Correct Answers -The patient
has removed the antiembolism stockings.
QUESTIONS AND ANSWERS
Which patient is at the greatest risk for developing a DVT?
A 3-year-old born via cesarean section at full term
A 15-year-old football player
A 17-year-old woman using hormonal contraception
A 65-year-old jogger - Correct Answers -A 17-year-old woman using hormonal
contraception
The nurse is assessing a patient with a suspected deep vein thrombosis (DVT).
Which event should the nurse not consider associated with this diagnosis?
Recent hospitalization
Immobilization
Running a marathon
Recent lengthy surgery - Correct Answers -Running a marathon
The nurse is assessing a patient who recently started warfarin.
Which patient statement requires follow-up?
"I will stay on warfarin for at least 3 months."
"I will need to follow up with my healthcare provider regularly."
"I will continue taking heparin for a few days because the full effect of warfarin is
delayed."
"I take gingko supplements for cognition." - Correct Answers -"I take gingko
supplements for cognition."
The nurse is caring for a 2-year-old patient with a diagnosis of deep venous thrombosis.
Which collaborative therapy should the nurse anticipate giving immediately?
Low molecular weight heparin
Factor Xa inhibitor
Oral warfarin
IV heparin - Correct Answers -Low molecular weight heparin
The nurse is preparing discharge instructions for a patient prescribed warfarin for a
deep venous thrombosis.
Which instruction should the nurse include?
"Notify the healthcare provider of bleeding or bruising."
"Take the warfarin at bedtime each day."
"Omit warfarin on the days when laboratory tests are ordered."
, "Use a hard-bristle toothbrush." - Correct Answers -"Notify the healthcare provider of
bleeding or bruising."
The nurse is reviewing assigned patients to determine who is at risk for developing a
deep venous thrombosis (DVT).
Which patient should the nurse identify as a candidate for DVT preventive therapy?
The patient with a history of hypertension
The patient with a history of diabetes mellitus
The patient with a recently fractured femur
The patient with elevated cholesterol levels - Correct Answers -The patient with a
recently fractured femur
A patient is scheduled for a duplex venous ultrasonography to assist in the diagnosis of
a deep venous thrombosis (DVT).
Which information should the nurse provide to the patient regarding this diagnostic test?
"A balloon catheter is inserted through the blood vessel to the site of the lesion."
"Thrombi are removed to improve venous circulation and prevent pulmonary embolism."
"An injected contrast medium is used to assess venous thrombosis."
"The velocity of blood flow through the veins is measured." - Correct Answers -"The
velocity of blood flow through the veins is measured."
The nurse is discharging an 89-year-old patient who is wheelchair bound and who has
been receiving heparin therapy.
Which order should the nurse anticipate?
Continue heparin therapy.
Transition from heparin therapy to warfarin.
Place pillows under the knees to ensure the knees remain sharply flexed.
Discontinue heparin. - Correct Answers -Discontinue heparin.
The nurse is discussing the care of a patient with a colleague. The patient, who reports
pain in the affected extremity, is being treated for deep vein thrombosis (DVT).
Which statement by the colleague indicates a need for further teaching?
"As the thrombosis dissolves, pain may increase."
"An increase in pain may be caused by extension of the thrombosis."
"Inflammed tissue releases substances that stimulate pain receptors."
"Swelling places pressure on pain receptors." - Correct Answers -"As the thrombosis
dissolves, pain may increase."
The home care nurse is evaluating a patient who was recently discharged from the
hospital for deep venous thrombosis (DVT).
Which observation indicates that additional teaching is required?
The patient frequently changes position.
The patient is sitting with the legs elevated.
The patient is taking an anticoagulant as prescribed.
The patient has removed the antiembolism stockings. - Correct Answers -The patient
has removed the antiembolism stockings.
