DVT Exam Questions and Answers 100% Correct Rated A+

DVT Exam Questions and Answers 100% Correct Rated A+ Administer heparin drip per protocol for DVT - Answer- Correct Answer: Administer heparin drip per protocol for DVT Rationale: The client has a clot in the leg, also called a deep vein thrombosis or DVT. The nurse should first begin the heparin drip per protocol to prevent any further clots from forming on the client. Incorrect: Administer furosemide 80 mg IV Rationale: The client is positive for a DVT, therefore the priority in this scenario is to prevent any further clotting by starting a heparin drip. Furosemide may be administered after to decrease edema if the doctor ordered it. CT chest with contrast Rationale: The nurse should begin the heparin drip first before getting the client to CT. Ambulate the client TID Rationale: Ambulating the client is not a priority and could dislodge the clot. A client has had compression stockings on for 24 hours. Which of the following should the nurse do first? Replace the compression stockings with a new pair Remove the compression stockings and assess legs Leave the compression stockings on and elevate the legs A client is admitted with a history of venous stasis and the lower extremities are edematous and discolored. The healthcare provider orders a doppler of the lower extremities, which shows that the left leg is positive for a clot. The nurse knows to implement which of the following orders first? CT chest with contrast Administer furosemide 80 mg IV Ambulate the client TID Leave the compression stockings on and keep the legs dependent - Answer- Correct Answer: Replace the compression stockings with a new pair Rationale: Compression stockings should only be on for 12 hours. The nurse should remove the compression stockings and assess the legs. Incorrect Answer: Leave the compression stockings on and keep the legs dependent The compression stockings have been on for too long, they should be removed. The client with a venous disorder should keep their legs elevated, not dependent. Replace the compression stockings with a new pair The compression stockings should only be kept on for 12 hours and then removed for 12 hours. The client has had the stockings on for too long, they should be removed, and the legs should be assessed. Leave the compression stockings on and elevate the legs The compression stockings should only be kept on for 12 hours and then removed for 12 hours. The nurse should not leave them on, but they may elevate the legs. The nurse knows that which signs and symptoms of a client indicate a venous disorder? Edema and hyperpigmented skin of the lower extremities Red, painful skin with a distinct border on arm Shortness of breath and strong pulses Generalized edema and shortness of breath - Answer- Correct Answer: Edema and hyperpigmented skin of the lower extremities Rationale: Edema and hyperpigmented skin are signs of a venous disorder. Edema occurs from blood not being able to return to the heart as efficiently and hyperpigmented skin occurs from blood pooling and not moving effectively. Incorrect Answer: Red, painful skin with a distinct border on arm Red, painful skin with a distinct border is not a sign of a venous disorder and is usually a sign of a skin rash or shingles. Generalized edema and shortness of breath Generalized edema and shortness of breath are not symptoms of a venous disorder. Edema is a sign but shortness of breath would be related to respiratory and possibly a pulmonary embolus. Edema and hyperpigmented skin of the lower extremities Edema and hyperpigmented skin are signs of a venous disorder. Edema occurs from blood not being able to return to the heart as efficiently and hyperpigmented skin occurs from blood pooling and not moving effectively. Shortness of breath and strong pulses Shortness of breath and strong pulses are not symptoms of a venous disorder. Edema and shortness of breath are symptoms of a venous disorder. A client with a history of venous disorders complains of severe pain in the leg. Which of the following is the priority nursing action? Listen to heart sounds Palpate and assess legs Palpate carotid artery pulse Place compression stockings on client - Answer- Correct Answer: Palpate and assess legs Rationale: The legs are the priority. The client has a history of venous disorders, so the nurse should look for edema, varicose veins, redness, and wounds.