QUESTIONS AND ANSWERS
Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy
after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these
clients about their medication, how should the nurse individualize care for each? -
answer- The older client will need more frequent monitoring than the younger client.
What characteristic of veins increases the risk for the development of a thrombus? -
answer- low blood flow
The nurse is completing an assessment on a newly admitted client. What finding
would alert the nurse that the client may be experiencing a deep venous thrombosis
(DVT)? - answer- swelling in one leg with edema
A client being treated for a deep venous thrombosis (DVT) is experiencing pain.
Which interventions should the nurse implement? Select all that apply. - answer- -
measure calf and thigh diameter daily
-apply warm moist heat to the area four times a day
-encourage position changes every 2 hours
-apply an egg crate mattress on the bed
-maintain bedrest as ordered
The three pathological factors that are associated with the formation of a thrombus
are known as what? - answer- virchow's triad
The nurse is providing discharge teaching to a client recovering from deep venous
thrombosis (DVT). Which instructions are appropriate for the nurse to include in the
teaching session? Select all that apply. - answer- -avoid prolonged standing or sitting
-avoid crossing the legs
-take frequent walks
A client diagnosed with a deep vein thrombosis (DVT) is receiving intravenous
heparin. Which is the priority outcome for this client? - answer- the client will not
experience bleeding
The nurse is caring for a breastfeeding client recovering from a cesarean section.
The physician diagnoses her with superficial venous thrombosis. Which intervention
should the nurse anticipate carrying out first? - answer- apply warm, moist compress
The nurse is planning care for a client with deep venous thrombosis (DVT). Which
problem would be a priority for this client? - answer- peripheral perfusion
A client receiving heparin therapy for deep venous thrombosis (DVT) complains of
severe chest pain and shortness of breath. Suspecting a pulmonary embolism, which
is the priority action by the nurse? - answer- apply oxygen and elevate the head of
the bed