NRNP 6566 / NRNP6566 Advanced Care of Adults
in Acute Settings I Week 5 Knowledge Check |
Questions and Verified Answers | Latest 2020 /
2021
• Question 1
Renee is a 56- year- old female that fell about a week ago and s
prained her R ankle. S he states s he has been taking it eas y and
laying around her home for mos t of the las t week so it would
heal. Yes terday s he noticed that her calf was sorer than it had
been, and her R foot and ankle were more s wollen than they had
been. S he came to urgent care today becaus e s he was afraid
that the injury was wors e than s he thought it
was.
T 99 . 2 BP 128/77 HR 88 RR 18 Wt 126 pou nds
Heart S 1S 2 regular rate and rhyth m, Lungs clear, Abdo me n s oft
R ankle is s wolle n but not dis colored. 1- 2+ edema noted
Dorsiflexion caus es s ome dis comfort in the ankle and calf
area.
Pedal puls es equal bilaterally
The APRN orders a duplex ultras ound of the right leg. Radiology
reports that the ultrasound is positive for a deep vein thrombosis.
How wou ld you manage this patient (include labs and meds)?
Correct
Answ er: It is appropriate to treat her on an outpatient
basis with appropriate education and s upport.
Obtain bas eline PT/INR,
PTT, CBC labs Begin Xarelto 15
mg po bid
Patient education on medication and potential
complications – return to emergency department for new
ons et s hortness of breath
This study source was downloaded by 100000851066238 from CourseHero.com on 08-23-2022 04:47:58 GMT -
05:00
https://www.coursehero.com/file/60383223/Week-5-knowledge-checkdocx/
, NRNP 6566 / NRNP6566 Advanced Care of Adults
in Acute Settings I Week 5 Knowledge Check |
Questions and Verified Answers | Latest 2020 /
• Question 2 2021
A 26- year- old female is currently on Lovenox 80 mg s ubq
daily. W hat labs s hould the APRN order to monitor this
patient?
Correct
Answ er: Enoxaparin ( Lov enox) is a form of heparin but its action
does not affect any of the clotting s tudies ( PTT or PT/INR)
s o there is no value in monitoring them.
Low mole cular weight heparin and fractionated heparin
can caus e heparin induced thrombocytopenia ( HIT), M
onitoring for enoxaparin ( Lov enox) would include platelet
counts to ass ess for HIT which can occur as s oon as 3
days after the medication is initiated.
• Question 3
A 64- year man is recovering from a trans urethral res ection of
the pros tate for treatment of benign prostate hyperplasia. The
patient is receiving intravenous antibiotics for the urinary tract
infection. The post- operative cours e has been s mooth and the
APRN is
removing the 3 - way Foley catheter when there is a s udden
releas e of bright red blood with many blood clots in the Foley
bag. The patient becomes hypotensive, tachycardic and the
APRN notes new ecchymos es on the patient’s arms and legs. The
patient was
immediately transferred to the s urgical intensive care unit (SICU) and a
s tat hematology
This study source was downloaded by 100000851066238 from CourseHero.com on 08-23-2022 04:47:58 GMT -
05:00
https://www.coursehero.com/file/60383223/Week-5-knowledge-checkdocx/
in Acute Settings I Week 5 Knowledge Check |
Questions and Verified Answers | Latest 2020 /
2021
• Question 1
Renee is a 56- year- old female that fell about a week ago and s
prained her R ankle. S he states s he has been taking it eas y and
laying around her home for mos t of the las t week so it would
heal. Yes terday s he noticed that her calf was sorer than it had
been, and her R foot and ankle were more s wollen than they had
been. S he came to urgent care today becaus e s he was afraid
that the injury was wors e than s he thought it
was.
T 99 . 2 BP 128/77 HR 88 RR 18 Wt 126 pou nds
Heart S 1S 2 regular rate and rhyth m, Lungs clear, Abdo me n s oft
R ankle is s wolle n but not dis colored. 1- 2+ edema noted
Dorsiflexion caus es s ome dis comfort in the ankle and calf
area.
Pedal puls es equal bilaterally
The APRN orders a duplex ultras ound of the right leg. Radiology
reports that the ultrasound is positive for a deep vein thrombosis.
How wou ld you manage this patient (include labs and meds)?
Correct
Answ er: It is appropriate to treat her on an outpatient
basis with appropriate education and s upport.
Obtain bas eline PT/INR,
PTT, CBC labs Begin Xarelto 15
mg po bid
Patient education on medication and potential
complications – return to emergency department for new
ons et s hortness of breath
This study source was downloaded by 100000851066238 from CourseHero.com on 08-23-2022 04:47:58 GMT -
05:00
https://www.coursehero.com/file/60383223/Week-5-knowledge-checkdocx/
, NRNP 6566 / NRNP6566 Advanced Care of Adults
in Acute Settings I Week 5 Knowledge Check |
Questions and Verified Answers | Latest 2020 /
• Question 2 2021
A 26- year- old female is currently on Lovenox 80 mg s ubq
daily. W hat labs s hould the APRN order to monitor this
patient?
Correct
Answ er: Enoxaparin ( Lov enox) is a form of heparin but its action
does not affect any of the clotting s tudies ( PTT or PT/INR)
s o there is no value in monitoring them.
Low mole cular weight heparin and fractionated heparin
can caus e heparin induced thrombocytopenia ( HIT), M
onitoring for enoxaparin ( Lov enox) would include platelet
counts to ass ess for HIT which can occur as s oon as 3
days after the medication is initiated.
• Question 3
A 64- year man is recovering from a trans urethral res ection of
the pros tate for treatment of benign prostate hyperplasia. The
patient is receiving intravenous antibiotics for the urinary tract
infection. The post- operative cours e has been s mooth and the
APRN is
removing the 3 - way Foley catheter when there is a s udden
releas e of bright red blood with many blood clots in the Foley
bag. The patient becomes hypotensive, tachycardic and the
APRN notes new ecchymos es on the patient’s arms and legs. The
patient was
immediately transferred to the s urgical intensive care unit (SICU) and a
s tat hematology
This study source was downloaded by 100000851066238 from CourseHero.com on 08-23-2022 04:47:58 GMT -
05:00
https://www.coursehero.com/file/60383223/Week-5-knowledge-checkdocx/
