![]() ![]() What signs and symptoms below would possibly indicate a deep vein thrombosis is present? The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. Therefore, the nurse would NOT just apply them at bedtime but during the day too.ĥ. The only time a patient should not wear the SCDs is when they’re ambulating. Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The nurse will administer per physician’s order Enoxaparin in the subcutaneous tissue of the abdomen. The nurse will apply sequential compression devices (SCDs) per physician’s order to the patient’s lower extremities every night at bedtime.Ĭ. The patient will eat all meals out of the bed daily by sitting in the bedside chair.ī. What nursing intervention below would the nurse NOT include in the patient’s plan of care to prevent DVT formation?Ī. You’re developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. Patients who’ve had joint replacement surgery are at risk for blood clots due to stasis of venous circulation etc.Ĥ. Patients who use IV drugs damage the endothelial lining of the veins and this can lead to blood clot formation. Patients who experience sepsis are at risk for hypercoagulability of the blood. Remember “SHE”: Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage. Virchow’s Triad details the THREE factors for blood clot formation within the vessel. A 65-year-old female who is post-op day 1 after joint replacement surgery. A 25-year-old male who uses intravenous drugs.ĭ. A 70-year-old female with severe sepsis.Ĭ. A 55-year-old male with hyperlipidemia and diabetes.ī. Based on Virchow’s Triad, select which patients below are at RISK for the development of a deep vein thrombosis? Select all that apply:Ī. Remember “SHE”: Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage.ģ. Virchow’s Triad details the THREE factors (hence why it called a triad) for blood clot formation within the vessel. Select all the factors regarding a deep vein thrombosis that are included in Virchow’s Triad: Option C is wrong because it should say: “A deep vein thrombosis in the lower extremity has a HIGH (not low) probability of becoming a pulmonary embolism.”Ģ. All the other statements are true about a DVT. “A DVT is a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein.” “A deep vein thrombosis in the lower extremity has a low probability of becoming a pulmonary embolism.”ĭ. “DVTs tend to mostly occur in the lower extremities but can occur in the upper extremities too.”Ĭ. ![]() ![]() “Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral.”ī. Which statement below is incorrect about a deep vein thrombosis (DVT)?Ī. Scroll down to see your results.)ĭVT (Deep Vein Thrombosis) NCLEX Questionsġ. (NOTE: When you hit submit, it will refresh this same page. ![]()
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