DEEP VEIN THROMBOSIS The nurse is talking with a client with suspected

deep vein thrombosis (DVT). The client asks the

The nurse is conducting a teaching session at
nurse if testing for the disease is invasive. The
the community center about deep vein
nurse tells the client that there is a noninvasive
thrombosis (DVT). Which of the following
diagnostic test for DVT, called:
attendees at the session does the nurse
determine is most at risk for developing DVT? 3. Plethysmography.

The nurse teaches the family of an older client

2. A 40-year-old client who smokes and uses
oral contraceptives
The nurse determines that teaching has been
effective for a client with deep vein thrombosis
(DVT) when the client states:
who is at risk for developing deep vein
thrombosis (DVT) about prevention of the
condition. Which of the following will the nurse
include in the teaching?
2. Position client to promote venous return.

The nurse is caring for a client who is to

2. "I'll get my blood drawn as scheduled and undergo a venous thrombectomy. The nurse
notify my doctor if I have unusual bleeding or tells the client that the thombus to be removed
bruising." is most likely located in the:

The nurse is assessing a postpartum woman and 4. Femoral vein.

determines that the client may have a deep vein
A client with a deep vein thrombosis
thrombosis (DVT) when the nurse notes which
experiences acute chest pain and dyspnea. The
of the following manifestations?
nurse should perform which of the following?
(Select all that apply.)
4. Ankle and leg edema

The nurse on the postpartum unit is reviewing
clients' charts. Which of the following clients
will the nurse plan to monitor closely due to
increased risk for deep vein thrombosis (DVT)?
The client with: (Select all that apply.)
1. Elevate the head of the bed
4. Notify the physician of the situation
A standard of nursing practice associated with
the care of a client with deep vein thrombosis
includes which of the following?

1. Pregnancy-induced hypertension (PIH)

2. Elevate the legs on a pillow, above the level
2. High parity
of the heart to promote venous return
3. Varicose veins
A client who has been receiving heparin therapy
The nurse is caring for a client with a deep vein
also is started on warfarin sodium (coumadin).
thrombosis (DVT) and selects ineffective tissue
The client asks the nurse why both medications
perfusion as a priority nursing diagnosis based
are being administered. In formulating a
on which of the following assessments?
response, the nurse incorporates the
understanding that warfarin sodium:
2. Pallor and coolness of the affected leg
2. Inhibits synthesis of specific clotting factors in Which of the following conditions causes
the liver, and it takes 3 to 4 days for this intermittent claudication (cramp-like pains in
medication to exert an anticoagulation effect. the leg)?

A significant cause of venous thrombosis is: 4. Inadequate muscle oxygenation

4. All of the above Which of the following medical treatments

should be administered to treat intermittent
Which technique is considered the gold
claudication?
standard for diagnosing DVT?
4. Pentoxiphylline (Trental)
2. Venography

Which of the following characteristics is typical

of the pain associated with DVT?

3. Sudden onset

Which of the following factors usually causes

DVT?

2. Inactivity

Which of the following terms is used to describe

a thrombus lodged in the lungs?

3. Pulmonary Embolism

Which of the following terms refers to the

blood coagulating faster than normal, causing
thrombin and other clotting factors to multiply?

2. Hypercoagulability

Which of the following treatments can relieve

pain from Deep Vein Thrombosis?

4. Elevation

Which of the following terms best describes the

findings on cautious palpation of the vein in
typical superficial thrombophlebitis?

2. Knotty

Which of the following terms is used to describe

pain in the calf due to sharp dorsiflexion of the
foot?

4. Positive Homan's sign