Since it’s a Vitamin K antagonist, it will work to inhibit clotting factors from using Vitamin K. Slow onset….takes 3-5 day for patient to become therapeutic, Monitor PT/INR…therapeutic INR is 2-3 (less than 2…not therapeutic) and greater than 3 at risk for bleeding). Clotting factors cause fibrin to be created. The therapeutic INR range is 2-3. Peroneal and posterior tibial in the calves (found in the lower leg), Popliteal and superficial femoral (found in the thighs), Traveling for long hours without moving extremities, Heart failure (left ventricular dysfunction), IV drug usage ( also venipuncture…drawing blood from a vein), Indwelling devices (central line catheter, IV line, or heart valves etc. Checking your knowledge of deep vein thrombosis is possible thanks to this quiz/worksheet combo. Most Heparin protocols dictate that the nurse would hold the infusion for 1 hour and to decrease the rate of infusion. All the other statements are true about a DVT. These devices wrap around the legs and inflate and deflate to help move blood flow (similar to walking). A deep vein thrombosis is a type of venous thromboembolism (VTE). According to Virchow’s Triad, a blood clot can form within the vein for several reasons. Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. Nursing Study Guide for Deep Vein Thrombosis. Nurse Plus is ⦠A 70-year-old female with severe sepsis. Correct answer: C loomâs level: Evaluate NCLEX Plan category: Health Promotion Question 5 A nurse is teaching a client the appropriate way to use a metered dose inhaler. The answer is D. A d-dimer test assess fibrin degradation fragment. Don’t forget to check out the other NCLEX review quizzes in this series and to watch the lecture on deep vein thrombosis before taking the quiz. A patient is receiving continuous IV Heparin for anticoagulation therapy for the treatment of a DVT. “DVTs tend to mostly occur in the lower extremities but can occur in the upper extremities too.”, C. “A deep vein thrombosis in the lower extremity has a low probability of becoming a pulmonary embolism.”, D. “A DVT is a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein.”, The answer is C. This option is INCORRECT. The answers are B, C, and D. Virchow’s Triad details the THREE factors for blood clot formation within the vessel. 2. Which statements by the patient require you to re-educate them about how this medication works? Match. As the nurse, you will want to be familiar with the prevention of a blood clot (venous thromboembolism VTE), management of a DVT, and anticoagulation therapy. Which of the following medications is an anti-thrombotic? In order for this medication to have a therapeutic effect on the patient, the aPTT should be? Scroll down to see your results.). Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Damage to this layer can be from a direct or indirect cause, but regardless it stimulates platelets and the coagulation process. Homan’s Sign is NOT a reliable method for assessing for a DVT. B. This is because vein valves and walls became damaged due to the clot…blood doesn’t flow in the right directions (back to the heart). Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Hematological Disorders. A 55-year-old male with hyperlipidemia and diabetes. All Rights Reserved. (ex: up to 4.5). B. However, it depends on how the lab reports the assay cut-off value for the d-dimer. Why are the other options wrong? Quiz Flashcard. Also explore over 143 similar quizzes in ⦠), Medications that are damaging to the vein. It is important that you’re familiar with the signs and symptoms, preventive measures, treatment, and pathophysiology for a DVT. Prophylactic medications: after surgery (post-op), especially joint replacement surgery like the hip… Example: Enoxaparin (subq injection), Don’t rub or massage affected extremity (can dislodge clot), Elevate the affected extremity above heart level (promotes blood return and decreases swelling), Compresses (warm/moist) helps pain and circulation. Injury to a vein (fracture, severe muscle injury, major surgery) 2. Continue with the infusion because no change is needed based on this aPTT. One of the two subsections of the Safe and Effective Care Environment category is âManagement of Care.â *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. The Nurse Plus Academy is designed to help you pass your NCLEX Exam. Used to diagnose blood clots or Disseminated Intravascular Coagulation (DIC). 7. Nursing Exam Cram Sheet for NCLEX-RN â This downloadable guide contains condensed facts about ⦠Hypercoagulability: let the name of this factor help you…hyper means increase or high and coagul refers to the coagulation process in the body (hence forming a clot). NCLEX Study Guide. Endothelial damage to the vein: This endothelial is a layer of cells that lines the inside of the vein. Try this amazing Quiz: NCLEX Nursing Questions On Cardiovascular System quiz which has been attempted 3674 times by avid quiz takers. aPTT values should be around 60-80 seconds to achieve a therapeutic response for Heparin. Example: Liver disease, MI, surgery (heart), cancer, pregnancy. DVT (deep vein thrombosis) NCLEX questions for nursing students! Learn vocabulary, terms, and more with flashcards, games, and other study tools. Itâs the formation of a clot within a deep vein. Nursing Prioritization, Delegation and Assignment #2 | 15 Questions; Case Study: Deep Vein Thrombosis Patient Profile D.R. Youâre educating a patient about Warfarin (Coumadin) and how it is used to treat blood clots. This quiz is copyright RegisteredNurseRn.com. Used in combination with Warfarin until INR is therapeutic and then Heparin is discontinued. Start studying NCLEX questions DVT/PE/CF. Therefore, the blood has to flow back to the heart via the veins, and it does this with the assistance of healthy vein valves and the muscles within the extremity. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. See our full. Which statement below is incorrect about a deep vein thrombosis (DVT)? Blood cannot just hang out and become static within a vessel. To answer that question, we must review Virchow’s Triad. Based on Virchow’s Triad, select which patients below are at RISK for the development of a deep vein thrombosis? Retrieved 1 November 2019, from https://www.cdc.gov/ncbddd/dvt/facts.html. Deep vein thrombosis can cause leg pain or swelling, but also can occur with no symptoms.Deep vein thrombosis can develop if you have certain medical conditions that affect how your blood clots. Select all that apply: A. It prevents blood clots from forming, and if one is present, it will help prevent it from becoming bigger. Prevention…very simple but so beneficial…nurses play a HUGE role with this! (acts fast) given IV or subq…weight-based, Monitor aPTT (activated partial thromboplastin time): 1.5 to 2.5 times normal ranges, >80 seconds risk for bleeding….dose decreased, <60 seconds NOT therapeutic…risk for clots and may need dosage increased. Over 200 free NCLEX-RN exam practice test questions with thorough rationales for explanation of answers to help give you a leg up for the special day. The nurse will apply sequential compression devices (SCDs) per physicianâs order to the patient’s lower extremities every night at bedtime. What are some conditions that cause an increased risk of forming a clot within the vessel? 3,500+ NCLEX-RN Practice Questions for Free â Thousands of practice questions for different nursing concepts and topics to help you review for the NCLEX-RN. This is a blood test that assesses for fibrin degradation fragment (d-dimer), it’s a fibrin degradation product. Take them off when the patient is walking. If you find benefit from our efforts here, check out our premium quality NCLEX study guide to take your studying to the next level. However, the MD must further investigate if the patient has a DVT. Do you think you could pass the NCLEX? 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Enhances the activity of antithrombin III, which will inhibit thrombin and the conversion of fibrinogen to fibrin. The legs are the most common sites of DVT. Some topics on the quiz include using ultrasounds for this condition and the D-dimer test. Pulmonary embolism due to deep vein thrombosis (DVT). DVT NCLEX Questions. Text Mode â Text version of the exam 1. Diagnosis and Treatment of Venous Thromboembolism | CDC. Patients who experience sepsis are at risk for hypercoagulability of the blood. What are the risk factors for developing a deep vein thrombosis (DVT)? Veins located in the pelvis, lower leg (calf), and thighs. This is a protein fragment that hangs out in the blood when a clot breaks down. Itâs fatal in up to 26% of cases. Virchow’s Triad gives us three main factors that can lead to blood clot formation within a vein. 13. A nurse is advising a patient with Chronic Fatigue Syndrome on infection control procedures. D. Hold the infusion for 1 hour and decrease the rate per protocol because the aPTT is too high. 8. 1. 12. All Rights Reserved. Also, a normal d-dimer is <500 ng/mL (FEU). It done by manually (forced) dorsiflexing the patientâs foot (bending it up towards the shin) and if it causes the patient pain it considered a positive Homan’s Sign. A pulmonary embolism is a risk from the development of a DVT. The nurse is preparing to educate the client on the new prescription for an anti-thrombotic medication. Also, make sure they are changed and cleaned regularly (they can become sweaty and smelly). So we’ve seen how a clot forms now let’s talk about what you can see in your patient that may have a DVT. Copyright © 2021 RegisteredNurseRN.com. What nursing intervention below would the nurse NOT include in the patient’s plan of care to prevent DVT formation? Which statement below is incorrect about a deep vein thrombosis (DVT)? ... A client is being discharged home from the hospital after being treated for a deep vein thrombosis (DVT). Deep Vein Thrombosis (DVT) NCLEX Review. The answer is A. 3. Deep vein thrombosis (DVT) is a medical condition which involves the formation of a blood clot called thrombus in a deep vein/s in the body. Created by. Sequential Easy First Hard First. Settings. Fibrin causes the big problem in terms of a clot developing because fibrin is like strands of mesh. Also, a positive result doesn’t necessarily mean the patient has a clot because some disease processes can cause a false positive. It may be slightly higher if a patient is at a high risk for clot formationâ¦. What veins are most susceptible for a DVT? C. The patient experiences pain when the leg is extended. This quiz will test your knowledge on DVT (deep vein thrombosis) in preparation for the NCLEX exam. Learn. "The calf is touched for temperature and firmness, and observed for redness," says Curran Krupar , RN, ED nurse at EMH Medical Center in Elyria, OH. Free NCLEX Practice Test Questions For: âSafe and Effective Care Environment â Management of Careâ Your NCLEX practice should cover all tested NCSBN competencies in detail and at the same level of difficulty as the real exam. These devices can come unplugged from wall and quit working. Select all the nursing interventions that are appropriate for this patient: A. Join the nursing revolution. If the aPTT is too low, blood clots can form. If the aPTT is too high, bleeding can occur. Many times this is placed for patient who can’t take anticoagulants. Compression stockings per MD order: provides a specific amount of compression to help decrease risk of blood clot development. Application and regular usage of pneumatic compression devices like (SCDs) Sequential Compression Device per MD order. Patient needs to be ambulating daily and out of the bed with all meals, if possible. The other type of VTE is a pulmonary embolism, which is where a deep vein thrombosis breaks off within the vein and goes to the lungs. A. Test. Therefore, the nurse would NOT just apply them at bedtime but during the day too. Remember “SHE”: Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage. Extend the patient’s leg and manually dorsiflex the patient’s foot (bend it up towards the shin). Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein in the leg or arm. DVT (Deep Vein Thrombosis) NCLEX Questions DVT (deep vein thrombosis) NCLEX questions for nursing students! It’s the formation of a clot within a deep vein. “Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral.”, B. 4. Any aPTT value greater than 80 seconds places the patient at risk for bleeding. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Read Chapter 37 From Your Text Book II. Regardless of the factor(s) contributing to the blood clot, as identified by Virchow’s Triad, platelets are involved. This includes: DVTs tend to occur in the lower extremities (legs), but can occur in the upper extremities as well. C. The nurse will administer per physician’s order Enoxaparin in the subcutaneous tissue of the abdomen. The answer is C. An  aPTT should be 1.5-2.5 times the normal value range for Heparin to achieve a therapeutic effect in a patient to prevent blood clots. A deep vein thrombosis is a type of venous thromboembolism (VTE). B. There are two types of veins in the leg: superficial veins which lie just below the skin and can be seen on the surface, and deep veins which lie deep within the leg muscles. Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein in the leg or arm. The patient will eat all meals out of the bed daily by sitting in the bedside chair. Make sure the patient is wearing them while sitting or in bed. 6. This is the first of our 3 free practice tests. A. Tight compression stockings (thigh or knee high compression) per MD order…helps promote blood flow and decreases swelling (change regularly and show patient how to apply). Misdiagnosed, unrecognized, or deep vein thrombosis ) NCLEX Review, nurse Salary, and Virchow. Is therapeutic and then Heparin is discontinued disease processes can cause death quicklyâwithin just an hour doesn t... Start achieving a therapeutic INR range for this medication patient has a clot a. To answer but with enough practice using the questions below, youâll ace them theyâre. While awake now test your knowledge by taking the deep vein would Hold the infusion 1. 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