DVT PE- PREP U Exam Rated A+

DVT PE- PREP U Exam Rated A+ You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client? A. Examine the client's mental and emotional status. B. Examine the extremities for skin lesions. C. Examine the legs for color, capillary refill time, and tissue integrity. D. Examine for pain around the shoulder and neck region. - Answer- C. Examine the legs for color, capillary refill time, and tissue integrity. A client has had oral anticoagulation ordered. What should you monitor for when your client is taking oral anticoagulation? A. Vascular sites for bleeding B. Hourly IV infusion C. Prothrombin time (PT) or international normalized ratio (INR) D. Urine output - Answer- C. Prothrombin time (PT) or international normalized ratio (INR) Heparin therapy is usually considered therapeutic when the patient's activated partial thromboplastin time (aPTT) is how many times normal? A. .25 to .75 B. .5 to 1 C. 2 to 2.5 D. 2.5 to 3 - Answer- C. 2 to 2.5 A patient is receiving enoxaparin (Lovenox) and warfarin (Coumadin) therapy for a venous thromboembolism (VTE). Which lab value indicates that anticoagulation is adequate and enoxaparin (Lovenox) can be discontinued? A. The patient's prothrombin time (PT) is 0.5 times normal. B. The patient's K+ level is 3.5. C. The patient's international normalized ratio (INR) is 2.5. D. The patient's activated partial thromboplastin time (aPPT) is half of the control value. - Answer- C. The patient's international normalized ratio (INR) is 2.5. The client is admitted with left lower leg pain, a positive Homans' sign, and a temperature of 100.4° F (38° C). The nurse should assess the client further for signs of: A. IV drug abuse. B. deep vein thrombosis (DVT) in the left leg. C. intermittent claudication. D. aortic aneurysm. - Answer- B. deep vein thrombosis (DVT) in the left leg. When the nurse is obtaining a health history from an older adult, which information in the history is a risk factor associated with deep vein thrombosis (DVT)? A. The client walks 30 minutes every day. B. The client wears support stockings. C. The client lives alone. D. The client recently had abdominal surgery. - Answer- D. The client recently had abdominal surgery. In order to prevent deep vein thrombosis (DVT) following abdominal surgery, the nurse should: A. limit fluids to 1000 ml in 24 hours. B. encourage deep breathing. C. assist the client to remain sedentary. D. use pneumatic compression stockings. - Answer- D. use pneumatic compression stockings. Following a total joint replacement, which complication has the greatest likelihood of occurring? A. displacement of the new joint B. deep vein thrombosis (DVT) C. polyuria D. wound evisceration - Answer- B. deep vein thrombosis (DVT) Which client is at risk for pulmonary embolism? A client with: A. deep vein thrombosis (DVT). B. varicose veins. C. a small abdominal aneurysms. D. arteriosclerosis. - Answer- A. deep vein thrombosis (DVT). Which of these measures would the nurse implement for prevention of deep vein thrombosis (DVT) in a postoperative client? A. Placing graduated compression stockings on the client. B. Teaching the client about the use of incentive spirometer. C. Encouraging the client to elevate the head of bed. D. Elevating bilateral legs when lying in the bed. - Answer- A. Placing graduated compression stockings on the client. A nurse is instructing a client about using antiembolism stockings. Antiembolism stockings help prevent deep vein thrombosis (DVT) by: A. elevating the extremity to prevent pooling of blood. B. encouraging ambulation to prevent pooling of blood. C. providing warmth to the extremity. D. forcing blood into the deep venous system. - Answer- D. forcing blood into the deep venous system.