Deep Vein Thrombosis (DVT) Complications and Nursing Interventions

A patient has been diagnosed with deep vein thrombosis (DVT) in the lower extremity. The nurse is educating the patient about possible complications. Which of the following is considered the most serious complication of DVT? A. Pulmonary embolism B. Thrombophlebitis C. Chronic venous insufficiency D. Post-thrombotic syndrome A male patient was admitted to the Medical Unit with a diagnosis of deep vein thrombosis (DVT) and is complaining of pain in both legs. Which of the following nursing diagnoses most accurately reflects the patient's current condition? A. Impaired physical mobility B. Fluid volume excess C. Electrolyte imbalance D. Impaired tissue perfusion The nurse is caring for a 78-year-old female patient in skin traction due to a fractured right hip. She has a nursing diagnosis of impaired tissue perfusion. To help prevent deep vein thrombosis (DVT), the nurse administers prescribed anticoagulants and applies compression stockings to both legs. Which additional nursing intervention is most appropriate to support circulatory health? A. Observe for bradycardia and dyspnea B. Prevent friction from clothing and bed linens C. Reposition the patient regularly in bed D. Assess the calves for tenderness, swelling, or warmth A postpartum woman has been diagnosed with deep vein thrombosis (DVT) in her left leg. The nurse is developing a plan of care. Which of the following interventions is most appropriate at this time? A. Encourage early ambulation B. Elevate the left leg above heart level C. Apply an ice pack to the affected area D. Administer the prescribed anticoagulant therapy A nurse is caring for a client who is on strict bed rest. To reduce the risk of developing deep vein thrombosis (DVT) and pulmonary embolism, the nurse incorporates preventive strategies into the care plan. Which nursing intervention is most effective in preventing these complications? A. Restricting fluid intake B. Placing a pillow under the knees C. Encouraging active range-of-motion exercises D. Applying a heating pad to the lower extremities Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient? A. Increases fitness and prevents future heart attacks B. Prevents bedsores C. Prevents DVT (deep vein thrombosis) D. Prevent constipations A patient with a history of severe varicose veins in the left leg presents to the clinic and reports that, three days ago, the right leg became swollen with dark discoloration of the skin. On assessment, the capillary refill is 3 seconds in the fingers and 4 seconds in the right toes. What is the most appropriate nursing intervention? A. Teach the patient how to monitor blood glucose at home B. Assess the patient for signs of right-sided heart failure C. Encourage the patient to join a supervised exercise program D. Teach the patient how to properly apply thigh-high anti-embolic stockings A patient with Raynaud's syndrome presents with yellow ulceration on the toes, which changed from blue to pale in color. What is the most likely underlying cause of this condition? A. Ascites B. Palpitations C. Digital sensitivity to cold D. Peripheral arterial insufficiency A patient with Raynaud's phenomenon has been prescribed a calcium channel blocker such as nifedipine. What is the primary reason for this medication? A. To control heart rate and prevent arrhythmias B. To reduce fluid retention and lower blood pressure C. To decrease the frequency and severity of vasospastic attacks D. To treat underlying infection causing digital ulcers Which of the following is the most strongly associated cause of Buerger’s disease (thromboangiitis obliterans)? A. High cholesterol levels B. Autoimmune reaction C. Tobacco use D. Sedentary lifestyle