DVT Exam 100% Solved Correctly

DVT Exam 100% Solved Correctly Which options are risk factors for developing a deep vein thrombosis (DVT)? Select all that apply. - Answer- *Long plane ride *Smoking *Age *Cancer Which of the following assessment findings are expected in a client with a deep vein thrombosis? Select all that apply. - Answer- *Edema *Pain *Erythema What is a possible complication of a deep vein thrombosis? - Answer- Pulmonary embolism 1. Deep Vein Thrombus 2. Arterial Thrombus - Answer- 1. Family history of: Blood disorders Venous thromboembolismSocial history of: Smoking/Vaping/E-Cigs Prolonged immobility Oral contraceptives Hormone replacementPast Medical History of: Cancer Pregnancy Obesity Recent surgeryPain at siteEdema at siteWarmth at siteErythema at site 2. Family history of: Diabetes Peripheral vascular diseasePast Medical History of: Peripheral vascular disease Heart disease Dyslipidemia DiabetesSocial history of: Smoking/Vaping/E-CigsPale and cool sitePain below siteCapillary refill 3 secondsDecrease or loss of pulse 1. Ineffective peripheral tissue perfusion 2. Impaired gas exchange 3. Acute pain 4. Knowledge deficit 5. Risk for bleeding - Answer- 1. Warm moist compresses Repositioning Compression stockings Administer anticoagulant 2. Auscultate lungs Monitor vital signs Provide oxygen 3. Repositioning Analgesics 4. Client teaching 5. Re-evaluate medication 1. Rarely used anymore. Difficult to maintain therapeutic dose. Requires frequent lab testing. 2. Used initially for quick anticoagulation. No lab testing required. If prescribed at home patient teaching of self-injection necessary. 3. Takes several days to be therapeutic. Large amount of diet and drug to drug interactions. Requires periodic lab testing. 4. Requires use with heparin or enoxaparin initially. Avoided in patients with history of dyspepsia and gastrointestinal bleed. 5. Can be used for initial therapy. Also available in once daily dosing within the same class. - Answer- 1. Heparin 2. Enoxaparin 3. Warfarin 4. Dabigatran 5. Apixaban 1. Immediate 2. Urgent 3. Routine - Answer- 1. Oxygen ordered for oxygen saturation 84% on room air Client with deep vein thrombosis experiencing shortness of breath Monitor shows sudden tachycardia with a heart rate of 110 2. Venous ultrasound positive for DVT but patient not on anticoagulation Patient is in pain 3. Client verbalizes knowledge deficit related to deep vein thrombosis Order in the chart to continue home medications Place compression stockings In evaluating the outcomes of the nurse's interventions in caring for a patient with a DVT, which of the following assessment items would indicate the interventions were effective? (Select all that apply.) - Answer- *Decreased circumference of the calf *Decreased discomfort Which of the following need to be addressed urgently? - Answer- 1: Lab Results 2: Venous Ultrasound Report: Large right common femoral vein thrombosis present 4: 6/10 Pain Scale: Intense 1. Venous Thrombus 2. Arterial Thrombus 3. Cellulitis - Answer- 1. Erythema at site Pain Edema 2. Pain Abnormal pulses Capillary Refill 3 sec 3. Erythema at site Pain Edema 1. enoxaparin 2. dabigatran - Answer- 1. Used initially for quick anticoagulation. No lab testing required. If prescribed at home patient teaching of self-injection necessary.