Patho/risks
Which of the following is a risk factor for DVT?
a. Over-exercising
b. Surgery
c. Alcohol use
d. Salicylism
b. surgery
This is a common sign of DVT.
A. Pain when lying supine
B. Diaphoresis
C. Headache
D. Erythema
D. Erythema
Which medication class is typically used to reduce inflammation in veins and provide symptom relief for patients with superficial venous thrombosis?
a. Heparin
b. NSAIDS
C. Direct thrombin inhibitors
d. Factor Xa inhibitors
b. NSAIDS
It is the choice with the most relevance to assessing a patient suspected of DVT
a. Patient body temperature
b. Patient’s food journal
c. Patient’s recent travels to South Shire where he consumed questionable hobbit tea
d. Patient’s report of severe leg pain
d. Patient’s report of severe leg pain
The following is a lab used to diagnose DVT.
A. PTT
B. ALT
C. APT
D. ACT
A. PTT
Of the following, it is NOT a risk factor for DVT.
a. Atrial fibrillation
b. Orthopedic procedures
c. History of falls
d. Myocardial infarction
c. History of falls
What symptom is the most concerning when a patient has DVT?
a. Palpable cord-like vein
b. Shortness of breath
c. Homans sign upon foot dorsiflexion
d. Edema that measures twice the normal circumference
b. shortness of breath
What drug can be given prophylactically to a patient at risk for DVT?
a. Warfarin
b. Heparin
c. LMWH (low molecular weight heparin)
d. Clopidogrel
c. LMWH
Should the nurse apply heat or cold to the affected extremity?
a. Cold
b. Heat
c. Alternate heat and cold
d. Do not apply either
b. heat
Of the following, it causes the most risk of DVT.
a. Contraceptives containing hormones
b. Hypercalcemia
c. Fluid overload
d. Consumption of Seagull
a. Contraceptives containing hormones
Of the following, it is the one that is NOT FOUND in Virchow’s Triad.
a. Hypercoagulability
b. Circulatory stasis
c. Peripheral edema
d. Vascular damage
c. peripheral edema
a. standing
b. sitting
c. walking
d. lying prone
c. walking
What type of medication is used to breakdown clots in patients with serious DVT complications?
a. NSAIDS
b. Thrombolytic drugs
c. Anticoagulants
d. Antibiotics
b. thrombolytic drugs
Which of the following is an appropriate nonpharmacologic intervention for DVT?
a. Wear compression stockings
b. Cross legs when sitting
c. Apply cold compress to affected area
d. Ambulate around the unit
d. Ambulate around the unit
Of the following choices, he is the winner of SEC basketball player of the year for the 23-24 season.
a. Johni Broome
b. PJ Washington
c. Zach Edey
d. Dalton Knecht
d. Dalton Knecht
This is the most common place for DVT to occur.
Deep Leg Veins
True or false: cyanosis is present in the early stages of DVT
False (Develops in late stages)
What lab value must be monitored when giving warfarin.
a. platelet count
b. Prothrombin time (PT)
c. INR
d. activated partial thromboplastin time (aPTT)
c. INR
When this happens, it is an indication for surgery related to DVT
a. After anticoagulant therapy has begun and the affected limb decreases in size
b. The patient states that they no longer want to take pills
c. The thrombus becomes lodged in the femoral vein
d. The patient’s spouse begins aggressively wielding the TV remote and saying “if we’re not out of here by morning I’m suing this place!”
c. The thrombus becomes lodged in the femoral vein
This number is how many pieces are on a chessboard at the start of a chess match.
32
True or False: Age related changes can lead to false negatives on D-dimer Tests
False (Leads to false positives)
Which of the following matches the Homan's sign
a. Pain in the calf upon dorsiflexion
b. Severe pain when lying supine and leg is straightened
c. Patients hip and knees flex in response to head being maneuvered towards chest
d. small palpable mass in epigastric region
a. Pain in the calf upon dorsiflexion
True or False: Administration of LMWH requires close monitorization of lab values.
False (See slide 14 of DVT powerpoint)
Of the following statements, it is the one that would cause the nurse the most concern regarding DVT
a. “I am so hungry I could eat a moose right now.”
b. “ I have noticed that my right leg seems slightly larger and different in color than my left.”
c. “My mom told me that she thinks this bruise could be DVT”
d. “My golf swing was absolutely garbage yesterday.”
b. “ I have noticed that my right leg seems slightly larger and different in color than my left.”
This man was responsible for the purchase of Alaska from the Russian Empire for a sum of 7.2 million dollars (approx 129 million today).
William H. Seward