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av av
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6 years ago
The nurse is planning care for a patient who was diagnosed with deep vein thrombosis (DVT). What should be included in this plan of care?
 
  1. Activity as tolerated.
  2. Measure and apply elastic antiembolism stockings.
  3. Encourage the patient to sit out of bed several hours every day.
  4. Assist patient with putting on tight-fitting pants.

Question 2

A patient who is being treated for a deep vein thrombosis (DVT) complains of chest pain and shortness of breath. What should the nurse do first?
 
  1. Elevate the head of the bed and begin oxygen therapy.
  2. Measure the patient's blood pressure.
  3. Assess the extremity with the thrombosis.
  4. Assess the pulses on the extremity with the thrombosis.

Question 3

A 75-year-old patient is diagnosed with chronic venous insufficiency. What should the nurse instruct this patient?
 
  1. Keep legs in a dependent position as much as possible.
  2. Avoid the use of knee-high hose or girdles.
  3. Limit ambulation.
  4. Dangle legs over the side of the bed several times per day.

Question 4

The nurse is preparing an analgesic for a patient with leukemia. Which route is preferred for this patient?
 
  1. intramuscular
  2. intravenous
  3. oral
  4. subcutaneous

Question 5

A patient is seen for increasing edema in his left lower extremity and pain in the limb with ambulation. What should the nurse suspect is occurring in this patient?
 
  1. arterial occlusion
  2. deep vein thrombosis
  3. superficial vein thrombosis
  4. varicose veins

Question 6

A patient is demonstrating signs of thrombophlebitis. With this disorder, the nurse realizes that three mechanisms occur, which include:
 
  Select all that apply.
  1. pooling of blood in the vessel.
  2. blood hypercoagulation.
  3. stasis of blood flow.
  4. elevated systemic blood pressure.
  5. vessel damage.
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pur
wrote...
6 years ago
The answer to question 1

Correct Answer: 2
The plan of care for a patient with deep vein thrombosis (DVT) includes possible bed rest, the duration of which is determined by the extent of leg edema. Elastic antiembolism stockings are frequently ordered to stimulate the muscle-pumping mechanism that promotes the return of blood to the heart. Avoid prolonged standing or sitting. Avoid tight-fitting garments.

The answer to question 2

Correct Answer: 1
Immediately report patient complaints of chest pain and shortness of breath, anxiety, or a sense of impending doom. Prompt intervention to restore pulmonary blood flow can reduce the risk of significant adverse effects. Initiate oxygen therapy and elevate the head of the bed. The other interventions are not the priority and would delay the initiation of required interventions in this situation.

The answer to question 3

Correct Answer: 2
Nursing care for the patient with chronic venous insufficiency includes elevating the legs while resting and during sleep; walking as much as possible, but avoiding sitting or standing for long periods of time; when sitting, do not cross legs or allow pressure on the back of the knees, such as sitting on the side of the bed; do not wear anything that pinches legs, such as knee-high hose, garters, or girdles; and wearing elastic hose as prescribed.

The answer to question 4

Correct Answer: 3
A patient with leukemia is prone to developing infections as well as possible blood coagulation abnormalities. Administration of an analgesic through a route that would penetrate the skin could lead to bleeding or infection at the insertion site. The oral route is the route of choice for administering an analgesic to this patient.

The answer to question 5

Correct Answer: 2
The manifestations of deep vein thrombosis (DVT) are primarily due to the inflammatory process that accompanies the thrombus. Calf pain is the most common symptom, and it may be described as tightness or a dull, aching pain in the affected extremity, particularly upon walking. A DVT is not an arterial or a primary superficial vein problem. Varicose veins are tortuous veins with valve insufficiency.

The answer to question 6

Correct Answer: 2, 3, 5
Three pathologic factors, called Virchow's triad, are associated with thrombophlebitis: stasis of blood, vessel damage, and increased blood coagulability. Blood does not pool in the vessel; it is restricted. Systemic blood pressure elevation is not a mechanism of this problem.
av Author
wrote...
6 years ago
Above and beyond my expectations for this site
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