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NSG 210 Clotting Questions with Detailed Verified Answers

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NSG 210 Clotting Questions with Detailed Verified Answers

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NSG 210 Clotting Questions with Detailed
Verified Answers
The nurse is explaining to a student nurse about impaired central perfusion. The nurse
knows the student understands this problem when the student makes which
statement?

a. Central perfusion is monitored only by the physician.

b. Central perfusion involves the entire body.

c. Central perfusion is decreased with hypertension.

d. Central perfusion is toxic to the cardiac system. Ans: b. Central perfusion involves
the entire body.

A patient diagnosed with hypertension asks the nurse how this disease could have
happened to them. What is the nurse's best response?

a. Hypertension happens to everyone sooner or later. Don't be concerned about it.

b. Hypertension can happen from eating a poor diet, so change what you are eating.

c. Hypertension can happen from arterial changes that block the blood flow.

d. Hypertension happens when people do not exercise, so you should walk every day.
Ans: c. Hypertension can happen from arterial changes that block the blood flow.

A nurse is caring for several clients with fractures. Which client would the nurse
identify as being at the highest risk for developing deep vein thrombosis? a. An 18-year-
old male athlete with a fractured clavicle b. A 36-year-old female with type 2 diabetes
and fractured ribs c. A 55-year-old female prescribed ibuprofen for osteoarthritis d. A
74-year-old male who smokes and has a fractured pelvis Ans: d. A 74-year-old male
who smokes and has a fractured pelvis

, A client had a recent thromboembolism and must resume work which requires
frequent car and plane travel. What self-care measure does the nurse teach to reduce
the risk of impaired clotting in this client? a. Get up and walk around at least every 2
hours while traveling. b. Use a soft toothbrush and an electric razor for safety. c. Be
sure to sit with the legs elevated as much as possible. d. Increase fiber in the diet so as
not to strain to move the bowels Ans: a. Get up and walk around at least every 2
hours while traveling.

A nurse recently hired to the preoperative area learns that certain clients are at higher
risk for venous thromboembolism (VTE). Which clients are considered to be at high
risk? (Select all that apply.) a. Client with a humerus fracture b. Morbidly obese client c.
Client who smokes d. Client with severe heart failure e. Wheelchair-bound client f. 50
years of age or older Ans: b. Morbidly obese client c. Client who smokes d. Client
with severe heart failure e. Wheelchair-bound client

. A client has a platelet count of 9800/mm3 (9800 109 /L). What action by the nurse is
most appropriate? a. Assess the client for calf pain, warmth, and redness. b. Instruct
the client to call for help to get out of bed. c. Obtain cultures as per the facility's
standing policy. d. Place the client on protective Isolation Precautions. Ans: b. Instruct
the client to call for help to get out of bed.

A nurse is assessing a female client who is taking hormone therapy for breast cancer.
What assessment finding requires the nurse to notify the primary health care provider
immediately? a. Irregular menses b. Edema in the lower extremities c. Ongoing breast
tenderness d. Red, warm, swollen calf Ans: d. Red, warm, swollen calf

A client is on intravenous heparin to treat a pulmonary embolism. The client's most
recent partial thromboplastin time (PTT) was 25 seconds. What order would the
nurse anticipate? a. Decrease the heparin rate. b. Increase the heparin rate. c. No
change to the heparin rate. d. Stop heparin; start warfarin. Ans: b. Increase the
heparin rate

A normal PTT is 25 to 35 seconds, so this client's PTT value is too low.

For clients on heparin, a PTT of 1.5 to 2.5 times the normal value is expected


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