The answer is FALSE. Slow blood circulation (confinement to bed, limited movement, paralysis, sitting for extended periods, especially with crossed legs) 3. Write. Increase the drip rate per protocol because the aPTT is too low. This test is designed to help you prepare for either the NCLEX-RN exam or the NCLEX-PN exam. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. The answer is A. Homan’s Sign is NOT reliable because of false positives, but know for exams how to elicit a response. Copyright © 2021 RegisteredNurseRN.com. 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Anyone can develop a deep vein thrombosis, especially if these risk factors are present. The patient is prescribed continuous IV Heparin. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. Pulmonary embolism due to deep vein thrombosis (DVT). The platelets start to collect at the edges of the vessel, usually within the cusps of the vein’s valve. Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. Any aPTT value greater than 80 seconds places the patient at risk for bleeding. Retrieved 1 November 2019, from https://www.cdc.gov/ncbddd/dvt/diagnosis-treatment.html, Venous Thromboembolism | National Heart, Lung, and Blood Institute (NHLBI). The patient reports pain when the foot is manually dorsiflexed. It done by manually (forced) dorsiflexing the patient’s foot (bending it up towards the shin) and if it causes the patient pain it considered a positive Homan’s Sign. According to Virchow’s Triad, a blood clot can form within the vein for several reasons. It can lead to FALSE positives. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. A 70-year-old female with severe sepsis. 9. 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. If the aPTT is too low, blood clots can form.  If the aPTT is too high, bleeding can occur. A. fibrin degradation fragment; positive for a blood clot, B. platelet degradation protein; negative for a blood clot, C. clotting factors; positive for a blood clot, D. fibrin degradation fragment; negative for a blood clot. Veins located in the pelvis, lower leg (calf), and thighs. sudden shortness of breath, decreased oxygen saturation, fast heart rate, chest pain, very anxious, sweating, coughing, Fitted and applied properly as prescribed. 2. A. What signs and symptoms below would possibly indicate a deep vein thrombosis is present? 13. If the vein’s valves are damaged or the muscles aren’t working (or being used) blood isn’t going to flow back very well and a blood clot can develop. ), Medications that are damaging to the vein. Correct answer: C loom’s level: Evaluate NCLEX Plan category: Health Promotion Question 5 A nurse is teaching a client the appropriate way to use a metered dose inhaler. Patients who’ve had joint replacement surgery are at risk for blood clots due to stasis of venous circulation etc. Start studying NCLEX questions DVT/PE/CF. What are some conditions that cause an increased risk of forming a clot within the vessel? D-dimer can be reported in fibrinogen equivalent units (FEU) or d-dimer units (DDU). 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. Used in combination with Warfarin until INR is therapeutic and then Heparin is discontinued. This is a quizz on general knowledge of risks, treatment and preventative measure of Venous Thromboembolism ... From which vein is a DVT considered to be proximal? So, when they start to work within the vessel it recruits other chemicals called clotting factors. Created by. To answer that question, we must review Virchow’s Triad. Deep vein thrombosis is a condition in which - 1/12. The site provides NCLEX-RN and NCLEX-PN questions that are based on the materials developed by 2020 National Council of State Boards of Nursing and are similar to those you’ll find on the official exam. Play as. 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