NR 304 EXAM 1 REVIEW OF KNOWLEDGE Chapter 20 PVS and Lymphatic System
questions and answers
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." - (ANSWER)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 - (ANSWER)B. Massaging her legs
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 - (ANSWER)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 - (ANSWER)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
D. Rest with the legs above heart level - (ANSWER)B. Adjust the thermostat so that the
environment is warm
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease?
A. Intermittent claudication
B. Dependent rubor
C. Rest pain
D. Foot ulcers - (ANSWER)A. Intermittent claudication
A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse
explains that the client will wear antiembolism stockings during and after the procedure. When
the client asks what the stockings do, which of the following responses should the nurse make?
A. "They protect your legs and heels from skin breakdown."
B. "They help keep you warm after you're surgery."
C. "They improve your circulation to keep blood from pooling in your legs."
D. "They make it easier for you to do leg exercises after your surgery." - (ANSWER)C. "They
improve your circulation to keep blood from pooling in your legs."
questions and answers
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." - (ANSWER)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 - (ANSWER)B. Massaging her legs
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 - (ANSWER)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 - (ANSWER)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
D. Rest with the legs above heart level - (ANSWER)B. Adjust the thermostat so that the
environment is warm
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease?
A. Intermittent claudication
B. Dependent rubor
C. Rest pain
D. Foot ulcers - (ANSWER)A. Intermittent claudication
A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse
explains that the client will wear antiembolism stockings during and after the procedure. When
the client asks what the stockings do, which of the following responses should the nurse make?
A. "They protect your legs and heels from skin breakdown."
B. "They help keep you warm after you're surgery."
C. "They improve your circulation to keep blood from pooling in your legs."
D. "They make it easier for you to do leg exercises after your surgery." - (ANSWER)C. "They
improve your circulation to keep blood from pooling in your legs."
