A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The client asks the nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin sodium: A. Stimulates the breakdown of specific clotting factors by the liver, and it takes 2-3 days… Read More »
A client who had cardiac surgery 24 hours ago has a urine output averaging 19 ml/hr for 2 hours. The client received a single bolus of 500 ml of IV fluid. Urine output for the subsequent hour was 25 ml. Daily laboratory results indicate the blood urea nitrogen is 45 mg/dL and the serum creatinine… Read More »
A nurse has the order to begin administering warfarin sodium (Coumadin) to a client. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin? A. Vitamin K B. Aminocaproic acid C. Potassium chloride D. Protamine sulfate … Read More »
A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:… Read More »
A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer: A. Has a pale colored base. B. Is deep, with even edges. C. Has little granulation tissue. D. Has brown pigmentation around it. Correct Answer: D.… Read More »
In preparation for the discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include: A. Walking several times each day as an exercise program. B. Keeping the heat up so that the environment is warm. C. Wearing a TED hose during the day. D. Using hydrotherapy… Read More »
A client comes to the outpatient clinic and tells the nurse that he has had leg pains that begin when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for? A. An acute obstruction in the vessels of the legs. B. Peripheral vascular problems in… Read More »
Which of the following characteristics is typical of the pain associated with DVT? A. Dull ache B. No pain C. Sudden onset D. Tingling Correct Answer: C. Sudden onset DVT is associated with deep leg pain of sudden onset, which occurs secondary to the occlusion. A deep-vein… Read More »
Cancer can cause changes in what component of Virchow’s triad? A. Blood coagulability B. Vessel walls C. Blood flow D. Blood viscosity Correct Answer: A. Blood coagulability Charles Emile Troisier later recognized the further association of other abdominal cancers as well as testicular cancer with the presence… Read More »
Varicose veins can cause changes in what component of Virchow’s triad? A. Blood coagulability B. Vessel walls C. Blood flow D. Blood viscosity Correct Answer: C. Blood flow Venous stasis is more likely to occur in patients with atrial fibrillation, valvular heart disease: prolonged immobility such as… Read More »