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NR304 EXAM 1 WITH QUESTIONS WITH DETAILED
CORRECT ANSWERS/A+ GRADE ASSURED
A nurse is caring for a client who has deep vein thrombosis and has been on
heparin continuous infusion for 5 days. The provider prescribes warfarin PO
without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse
make?
A. "Warfarin takes several days to work, so the IV heparin will be used until the
warfarin reaches a therapeutic level."
B. "I will call the provider to get a prescription for discontinuing the IV heparin
today."
C. "Both heparin and warfarin work together to dissolve the clots."
D. "The IV heparin increases the effects of the warfarin and decreases the length
of your hospital stay." - (answers)A. "Warfarin takes several days to work, so the
IV heparin will be used until the warfarin reaches a therapeutic level."
A nurse is caring for a client who is postoperative and is at risk for developing
venous thromboembolism (VTE). The nurse should instruct the client to avoid
which of the following unsafe actions?
A. Elevating the feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery - (answers)B. Massaging her legs
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A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures places the client at risk
for deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - (answers)C. Hip arthroplasty
A nurse is caring for who reports an area of redness, warmth, tenderness, and
pain in the right calf. The nurse anticipates which of the following orders when
notifying the provider of this finding?
A. Obtain a venous duplex ultrasound
B. Obtain impedance plethysmography
C. Monitor Homan's sign
D. Apply cold therapy to the affected leg - (answers)A. Obtain a venous duplex
ultrasound
A nurse is providing discharge teaching ti a client who has peripheral arterial
disease (PAD). Which of the following instructions should the nurse include in the
teaching?
A. Apply a heating pad on a low setting to help relieve leg pain
B. Adjust the thermostat so that the environment is warm
C. Wear antiembolic stockings during the day
NR304 EXAM 1 WITH QUESTIONS WITH DETAILED
CORRECT ANSWERS/A+ GRADE ASSURED
A nurse is caring for a client who has deep vein thrombosis and has been on
heparin continuous infusion for 5 days. The provider prescribes warfarin PO
without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse
make?
A. "Warfarin takes several days to work, so the IV heparin will be used until the
warfarin reaches a therapeutic level."
B. "I will call the provider to get a prescription for discontinuing the IV heparin
today."
C. "Both heparin and warfarin work together to dissolve the clots."
D. "The IV heparin increases the effects of the warfarin and decreases the length
of your hospital stay." - (answers)A. "Warfarin takes several days to work, so the
IV heparin will be used until the warfarin reaches a therapeutic level."
A nurse is caring for a client who is postoperative and is at risk for developing
venous thromboembolism (VTE). The nurse should instruct the client to avoid
which of the following unsafe actions?
A. Elevating the feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery - (answers)B. Massaging her legs
, 2|Page
A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures places the client at risk
for deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - (answers)C. Hip arthroplasty
A nurse is caring for who reports an area of redness, warmth, tenderness, and
pain in the right calf. The nurse anticipates which of the following orders when
notifying the provider of this finding?
A. Obtain a venous duplex ultrasound
B. Obtain impedance plethysmography
C. Monitor Homan's sign
D. Apply cold therapy to the affected leg - (answers)A. Obtain a venous duplex
ultrasound
A nurse is providing discharge teaching ti a client who has peripheral arterial
disease (PAD). Which of the following instructions should the nurse include in the
teaching?
A. Apply a heating pad on a low setting to help relieve leg pain
B. Adjust the thermostat so that the environment is warm
C. Wear antiembolic stockings during the day
