Exam (elaborations)

Pearson DVT NCLEX Questions and Correct Answers, With Complete Solution 2024.

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DVT

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DVT

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Uploaded on June 14, 2024
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Pearson DVT NCLEX Questions and Correct
Answers, With Complete Solution 2024.
While conducting an assessment, the nurse concludes that a client is at risk for
developing a deep venous thrombosis. Which assessment finding led the nurse
to this conclusion? (Select all that apply.)

Taking over-the-corner medication for arthritis
A myocardial infarction 2 years ago
Controlling type 2 diabetes mellitus diet & exercises
Treatment for bladder cancer
A history of atrial fibrilation
A myocardial infarction 2 years ago
Treatment for bladder cancer
A history of atrial fibrillation
The nurse is reviewing the personal and medical history of several clients. Which
finding indicates that a client is at risk for the development of a deep venous
thrombosis? (Select all that apply.)

28 weeks' gestation
Hypercholesterolemia
Hormone therapy
Diabetes mellitus
Lung cancer
28 week's gestation
Hormone therapy
Lung cancer
The nurse is caring for a client diagnosed with a deep venous thrombosis. Which
nursing assessment is a priority?

Level of consciousness
Stroke scale assessment
Bilateral breath sounds
EKG rhythm & rate
Bilateral breath sounds
The nurse should assess which client for possible deep venous thrombosis?
(Select all that apply.)

The client capillary refill less than 3 sec in one lower extremity & 4 sec in the
other

The client w/ sharp, stabbing pain in the right lower extremity only when walking

The client w/ cyanosis of the right lower extremity

, The client w/ bilateral lower extremity edema but slightly greater in the left lower
extremity

The client who recently has rubbery but has no reports of pain or swelling in the
lower extremities
The client capillary refill less than 3 sec in one lower extremity & 4 sec in the other

The client w/ cyanosis of the right lower extremity

The client w/ bilateral lower extremity edema but slightly greater in the left lower
extremity

The client who recently has rubbery but has no reports of pain or swelling in the lower
extremities
The nurse is giving a presentation regarding the pathologic factors that may lead
to the formation of a thrombus. Which participant statement indicates a need for
further teaching?

"Circulatory stasis can lead to the formation of a thrombus."

"Vascular damage is a pathologic factor associated with a thrombus."

"Hypercoagulability is a pathologic factor associated with a thrombus."

"An active lifestyle can lead to the formation of a thrombus."
"An active lifestyle can lead to the formation of a thrombus."
The nurse is caring for a client admitted with new onset atrial fibrillation. Which
intervention should be included in the plan of care? (Select all that apply.)

Monitor for bilateral edema.
Elevate the foot of the bed with knees slightly flexed.
Assess extremities for cyanosis.
Teach the client to report sharp, stabbing pain in calf.
Monitor for tenderness and warmth of bilateral lower extremities.
Monitor for bilateral edema.
Elevate the foot of the bed with knees slightly flexed.
Assess extremities for cyanosis.
Monitor for tenderness and warmth of bilateral lower extremities.
The nurse is caring for a client who had a total hip replacement 8 hours ago. The
nurse should question which order?

Keep foot of bed flat and knees straight.
Begin early mobilization and leg exercises.

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Exam (elaborations)

Pearson DVT NCLEX Questions and Correct Answers, With Complete Solution 2024.

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