a, b, e - Answers While conducting an assessment, the nurse concludes that a client is at risk for
developing a deep venous thrombosis. Which assessment finding led the nurse to this
conclusion? (Select all that apply.)
A. Treatment for bladder cancer
B. A myocardial infarction 2 years ago
C. Taking over-the-counter medication for arthritis
D. Controlling type 2 diabetes mellitus with diet and exercise
E. A history of atrial fibrillation
a, b, c - Answers The nurse is reviewing the personal and medical history of several clients.
Which finding indicates that a client is at risk for the development of a deep venous thrombosis?
(Select all that apply.)
A. 28 weeks' gestation
B. Lung cancer
C. Hormone therapy
D. Hypercholesterolemia
E. Diabetes mellitus
peripheral vascular disease - Answers Hypercholesterolemia and diabetes mellitus are risk
factors for ______________________, not DVT.
a - Answers The nurse is caring for a client diagnosed with a deep venous thrombosis. Which
nursing assessment is a priority?
A. Bilateral breath sounds
B. Stroke scale assessment
C. Level of consciousness
D. EKG rhythm and rate
a, b, c, d - Answers The nurse should assess which client for possible deep venous thrombosis?
(Select all that apply.)
, A. The client who recently had surgery but has no reports of pain or swelling in the lower
extremities
B. The client with cyanosis of the right lower extremity
C. The client with capillary refill less than 3 seconds in one lower extremity and 4 seconds in the
other
D. The client with bilateral lower extremity edema but slightly greater in the left lower extremity
E. The client with sharp, stabbing pain in the right lower extremity only when walking
- cyanosis
- dull aching pain when walking
- edema greater in one leg
- capillary refill greater in one leg - Answers Signs and symptoms of DVT include : .................
a - Answers The nurse is giving a presentation regarding the pathologic factors that may lead to
the formation of a thrombus. Which participant statement indicates a need for further teaching?
A. An active lifestyle can lead to the formation of a thrombus."
B. "Vascular damage is a pathologic factor associated with a thrombus."
C. "Hypercoagulability is a pathologic factor associated with a thrombus."
D. "Circulatory stasis can lead to the formation of a thrombus."
a, b, d, e - Answers The nurse is caring for a client admitted with new onset atrial fibrillation.
Which intervention should be included in the plan of care? (Select all that apply.)