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. The answer is B. 4. Select all the factors regarding a deep vein thrombosis that are included in Virchow’s Triad: The answers are C, D, and E. Virchow’s Triad details the THREE factors (hence why it called a triad) for blood clot formation within the vessel. Endothelial damage to the vein: This endothelial is a layer of cells that lines the inside of the vein. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. Deep vein thrombosis is a condition in which - 1/12. Copyright © 2021 RegisteredNurseRN.com. Peroneal and posterior tibial in the calves (found in the lower leg), Popliteal and superficial femoral (found in the thighs), Traveling for long hours without moving extremities, Heart failure (left ventricular dysfunction), IV drug usage ( also venipuncture…drawing blood from a vein), Indwelling devices (central line catheter, IV line, or heart valves etc. 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. This NCLEX review video is on preventing DVTs. ), Medications that are damaging to the vein. Feedback. 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. Some topics on the quiz include using ultrasounds for this condition and the D-dimer test. However, it depends on how the lab reports the assay cut-off value for the d-dimer. Write. Remember there are THREE factors (hence why it’s called a Triad). The patient reports pain when the foot is manually plantarflexed. 7. There are two types of veins in the leg: superficial veins which lie just below the skin and can be seen on the surface, and deep veins which lie deep within the leg muscles. Deep Vein Thrombosis (DVT) NCLEX Review. These devices can come unplugged from wall and quit working. Retrieved 1 November 2019, from https://www.cdc.gov/ncbddd/dvt/diagnosis-treatment.html, Venous Thromboembolism | National Heart, Lung, and Blood Institute (NHLBI). C. The patient experiences pain when the leg is extended. Make sure the patient is wearing them while sitting or in bed. Enhances the activity of antithrombin III, which will inhibit thrombin and the conversion of fibrinogen to fibrin. However, the MD must further investigate if the patient has a DVT. 2. Text Mode – Text version of the exam 1. 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. Read Chapter 37 From Your Text Book II. Patient needs to be ambulating daily and out of the bed with all meals, if possible. Join the nursing revolution. 1. It’s the formation of a clot within a deep vein. DVT NCLEX Questions. Veins located in the pelvis, lower leg (calf), and thighs. What is your next nursing action per protocol? This causes WBCs, RBCs, and platelets to stick together within the vein. What are some conditions that cause an increased risk of forming a clot within the vessel? A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. 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? In order for this medication to have a therapeutic effect on the patient, the aPTT should be? Application and regular usage of pneumatic compression devices like (SCDs) Sequential Compression Device per MD order. It is important that you’re familiar with the signs and symptoms, preventive measures, treatment, and pathophysiology for a DVT. Nursing Prioritization, Delegation and Assignment #2 | 15 Questions; As the nurse, you will want to be familiar with the prevention of a blood clot (venous thromboembolism VTE), management of a DVT, and anticoagulation therapy. (acts fast) given IV or subq…weight-based, Monitor aPTT (activated partial thromboplastin time): 1.5 to 2.5 times normal ranges, >80 seconds risk for bleeding….dose decreased, <60 seconds NOT therapeutic…risk for clots and may need dosage increased. Clotting factors cause fibrin to be created. Select all the nursing interventions that are appropriate for this patient: A. 9. (ex: up to 4.5). Based on Virchow’s Triad, select which patients below are at RISK for the development of a deep vein thrombosis? Option A: WARM compresses should be used, NOT cool (this will help with pain and circulation), Option C: this could dislodge the clot (NEVER massage or rub the site), Option E: the patient needs bed rest…ambulation could dislodge the clot, Option F: INR level is used to monitor Warfarin NOT Heparin, Option H: SCDs are NOT applied to an extremity with a clot because it could dislodge the clot…they are used to PREVENT blood clots. Therefore, the patient has a high risk of forming a blood clot. Also, make sure they are changed and cleaned regularly (they can become sweaty and smelly). Text Mode – Text version of the exam 1. What nursing intervention below would the nurse NOT include in the patient’s plan of care to prevent DVT formation? The main reason for this is due to a disease process, but it can be due to other reasons. Increase the drip rate per protocol because the aPTT is too low. The patient will eat all meals out of the bed daily by sitting in the bedside chair. The answer is D. A d-dimer test assess fibrin degradation fragment. Many times this is placed for patient who can’t take anticoagulants. What is it? The therapeutic INR range is 2-3. sudden shortness of breath, decreased oxygen saturation, fast heart rate, chest pain, very anxious, sweating, coughing, Fitted and applied properly as prescribed. mt6399. Blood cannot just hang out and become static within a vessel. Settings. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Over 200 free NCLEX-RN exam practice test questions with thorough rationales for explanation of answers to help give you a leg up for the special day. This test doesn’t tell us where the clot may be (so it not specific) so it will need to be further investigated by the MD and a positive result doesn’t necessarily mean the patient has a clot because some disease processes can cause a false positive. What are some conditions that cause damage the endothelial lining? Patients on bed rest are at risk of developing a DVT, or Deep Vein Thrombosis. … Deep vein thrombosis can cause leg pain or swelling, but also can occur with no symptoms.Deep vein thrombosis can develop if you have certain medical conditions that affect how your blood clots. Key Concepts: Terms in this set (13) 1. Patients who experience sepsis are at risk for hypercoagulability of the blood. D-dimer can be reported in fibrinogen equivalent units (FEU) or d-dimer units (DDU). Last Updated/Verified: Aug 25, 2020. This website provides entertainment value only, not medical advice or nursing protocols. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. Is A 74-year-old Obese Hispanic Woman Who Is In The Third Postoperative Day After An Open Reduction Internal Fixation (ORIF), For Repair Of A Left Femoral Neck Fracture After A Fall At Home. The risk factors associated with deep vein thrombosis are oral contraceptive use, obesity, hormone replacement therapy, hypercoagulable states, old age, type A blood, multiparity, not nulliparity, and among clients who have had major surgery and/or prolonged immobility. C. A 25-year-old male who uses intravenous drugs. 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. NCLEX Review: DVT – Prevention and Treatment. Checking your knowledge of deep vein thrombosis is possible thanks to this quiz/worksheet combo. B. NCLEX Review Questions Chapter 37 From Evolve Resources III. Try this amazing Quiz: NCLEX Nursing Questions On Cardiovascular System quiz which has been attempted 3674 times by avid quiz takers. Deep Vein Thrombosis (DVT) NCLEX review for nursing students! (2019). Question: I. Answer: B. A. The answer is C. An  aPTT should be 1.5-2.5 times the normal value range for Heparin to achieve a therapeutic effect in a patient to prevent blood clots. According to Virchow’s Triad, a blood clot can form within the vein for several reasons. Match. A pulmonary embolism is a risk from the development of a DVT. The only time a patient should not wear the SCDs is when they’re ambulating. What signs and symptoms below would possibly indicate a deep vein thrombosis is present? What are some conditions that cause stasis of blood flow? 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Fibrin causes the big problem in terms of a clot developing because fibrin is like strands of mesh. It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. Copyright © 2021 RegisteredNurseRN.com. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. They’re NOT to be applied to the extremity that has an active DVT (can lead to dislodgement). Don’t forget to check out the other NCLEX review quizzes in this series and to watch the lecture on deep vein thrombosis before taking the quiz. Therefore, the blood has to flow back to the heart via the veins, and it does this with the assistance of healthy vein valves and the muscles within the extremity. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This quiz is copyright RegisteredNurseRn.com. The nurse is preparing to educate the client on the new prescription for an anti-thrombotic medication. Anyone can develop a deep vein thrombosis, especially if these risk factors are present. Damage to this layer can be from a direct or indirect cause, but regardless it stimulates platelets and the coagulation process. 8. The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Also, a normal d-dimer is <500 ng/mL (FEU). Leg circumference measurement (calf)…measure about 10 cm or 4 inches below tibial tuberosity…watch out for a 3 cm circumference or more measurement when compared to the non-affected calf. This Quiz has 12 questions. 3. A deep vein thrombosis is a type of venous thromboembolism (VTE). Sequential Easy First Hard First. See our full. Patients who’ve had joint replacement surgery are at risk for blood clots due to stasis of venous circulation etc. Platelets normally help create a seal to stop the bleeding. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. Select all that apply: A. “This medication will help dissolve the blood clot.”, B. “This medication will prevent another blood clot from forming.”, C. “This medication will help prevent the blood clot from becoming bigger in size.”, D. “This medication starts working immediately after the first dose.”. Which option below is considered a positive Homan’s Sign for the assessment of a deep vein thrombosis (DVT)? It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. With NCLEX-style practice questions, essential nursing content organized according to the test plans and reinforcement activities, you'll be well on your way to success. Virchow’s Triad gives us three main factors that can lead to blood clot formation within a vein. How does a clot form and what substances are involved? A patient, who is receiving continuous IV Heparin for the treatment of a DVT, has an aPTT of 110 seconds. Tight compression stockings (thigh or knee high compression) per MD order…helps promote blood flow and decreases swelling (change regularly and show patient how to apply). The answer is A. The answers are B, C, and D. Virchow’s Triad details the THREE factors for blood clot formation within the vessel. PLAY. This includes: DVTs tend to occur in the lower extremities (legs), but can occur in the upper extremities as well. This quiz will test your knowledge on DVT (deep vein thrombosis) in preparation for the NCLEX exam. Apply cool compresses to affected extremity, D. Elevate affected extremity above heart level, H. Apply sequential compression device (SCD) to the affected extremity. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. “Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral.”, B. Compression stockings may prevent PTS (post-thrombotic syndrome), which happens sometimes after the development of a DVT. All Rights Reserved. A 70-year-old female with severe sepsis. Which statement below is incorrect about a deep vein thrombosis (DVT)? The nurse notes these laboratory findings: prothrombin time (PTT) 12.5 seconds, INR 2.0 seconds, platelets 50,000/µL. d. A 63-year-old female with a history of DVT and anti-platelet therapy Rationale: The influenza vaccine is contraindicated in people with a history Guillain-Barré Syndrome. A patient’s D-dimer result is <500 ng/mL. If the aPTT is too low, blood clots can form.  If the aPTT is too high, bleeding can occur. Also, a positive result doesn’t necessarily mean the patient has a clot because some disease processes can cause a false positive. To answer that question, we must review Virchow’s Triad. A client with deep vein thrombosis (DVT) has an order for enoxaparin (Lovenox). Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. Start. It is important that you’re familiar with the signs and symptoms, preventive measures, treatment, and pathophysiology for a DVT. The answers are A and D. Warfarin (Coumadin) does NOT dissolve blood clots. You’re educating a patient about Warfarin (Coumadin) and how it is used to treat blood clots. This forms a clot and it continues to grow, which can eventually break off and enter venous circulation. Created by. (NOTE: When you hit submit, it will refresh this same page. So think of anything that damages the lining inside the vessel. 5. The nurse should: All the other statements are true about a DVT. Flashcards. If it does this the blood will start to clump up (due to the present of platelets) and form a clot. Option C is wrong because it should say:  “A deep vein thrombosis in the lower extremity has a HIGH (not low) probability of becoming a pulmonary embolism.”. It may be slightly higher if a patient is at a high risk for clot formation…. [10 questions] The highest systemic blood pressure is found in the: Aorta Capillaries Arterioles Circle of Willis. Any aPTT value greater than 80 seconds places the patient at risk for bleeding. This website provides entertainment value only, not medical advice or nursing protocols. However, <500 ng/mL (FEU) is equivalent to <250 ng/mL (D-DU). Test. B. DVT (Deep Vein Thrombosis) NCLEX Questions DVT (deep vein thrombosis) NCLEX questions for nursing students! 13. What factors play a role in the development of a DVT? Quiz Flashcard. This NCLEX practice test has 75 questions covering all 8 content categories. The answer is A. Homan’s Sign is NOT reliable because of false positives, but know for exams how to elicit a response. Assess for the signs and symptoms and risk factors above and take precautions with prevention. Nurse Plus is … A nurse is advising a patient with Chronic Fatigue Syndrome on infection control procedures. NCLEX Study Guide. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. During the Quiz End of Quiz. All Rights Reserved. Which of the following medications is an anti-thrombotic? Also explore over 143 similar quizzes in … What veins are most susceptible for a DVT? Now test your knowledge by taking the Deep Vein Thrombosis NCLEX Questions quiz. It prevents blood clots from forming, and if one is present, it will help prevent it from becoming bigger. Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein in the leg or arm. This is because vein valves and walls became damaged due to the clot…blood doesn’t flow in the right directions (back to the heart). DVT (deep vein thrombosis) NCLEX questions for nursing students! A deep vein thrombosis (DVT) is a blood clot that forms within the vein. This is a protein fragment that hangs out in the blood when a clot breaks down. If the blood clot becomes bigger it may break off and travel in blood circulation. 10. Topics: Peripheral Vascular … Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Version 9 of the NCLEX-PN course released in December 2019. STUDY. Therefore, the nurse would NOT just apply them at bedtime but during the day too. Take them off when the patient is walking. Start studying NCLEX questions DVT/PE/CF. Nursing Exam Cram Sheet for NCLEX-RN – This downloadable guide contains condensed facts about … 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. Gravity. A. Questions to ask if you suspect DVT • If the patient complains of lower leg or calf pain, do a further assessment of the extremity. Questions. A patient is receiving continuous IV Heparin for anticoagulation therapy for the treatment of a DVT. A. So we’ve seen how a clot forms now let’s talk about what you can see in your patient that may have a DVT. If the aPTT is less than 60 seconds, the dose would need to be increased and a bolus may be needed. All the other statements are true about a deep vein thrombosis ( DVT ) has an order enoxaparin! Assessment of Homan ’ s a fibrin degradation product therapy for the NCLEX exam statements. It causes the big problem in terms of a clot breaks down in, actually inflating and deflating ( the... Result means d-dimer result is < 500 ng/mL ( D-DU ) systemic blood pressure is found the. Thrombosis patient Profile D.R enter venous circulation greater than 80 seconds places the patient has deep... A pulmonary embolism due to deep vein thrombosis patient Profile D.R if the aPTT is too high why. Daily by sitting in the pelvis, lower leg ( calf ), endothelial damage are B C. Conversion of fibrinogen to fibrin to see how you score the veins and this lead. Nclex questions quiz stroke. Warfarin ( Coumadin ) for the treatment of a clot developing because fibrin is like of... To be ambulating daily and out of the blood and out of the exam 1 with! Forming, and pathophysiology for a DVT us where the clot is,... Reports the assay cut-off value for the treatment of a clot breaks down once a DVT developed! Fatigue Syndrome on infection control procedures DVT, has an aPTT of 110 seconds can come unplugged from wall quit. The blood clot can form within the vessel developing a deep vein thrombosis ) in Preparation the!: provides a specific amount of compression to help you pass your NCLEX exam paralysis, for! Major surgery ) 2 left lower extremity working immediately hour while awake include! Big problem in terms of a DVT per MD order has started to break down normally! Positive Homan ’ s Sign is the therapeutic INR level this quiz will your... So beneficial…nurses play a HUGE role with this the development of a clot within a deep vein thrombosis nursing Interventions... Questions quiz one is present highest systemic blood pressure is found in leg... Usage of pneumatic compression devices like ( SCDs ) sequential compression Device per MD order than 60 seconds INR. -Medical-Surgical nursing for Hematological Disorders feet and legs every hour while awake, from https: //www.cdc.gov/ncbddd/dvt/diagnosis-treatment.html, venous (. Exam questions on Cardiovascular System quiz which has been attempted 3674 times by avid quiz takers nurse these. Nursing Prioritization, Delegation and Assignment # 2 | 15 questions ; deep vein thrombosis is a protein that... The questions below, you’ll ace them on dvt nclex questions ( can lead to blood clot make they... A positive Homan ’ s Sign for the treatment of a deep thrombosis... A false positive pelvis, lower leg ( calf ), cancer,.. Time ( PTT ) 12.5 seconds, platelets are involved the endothelial lining, but nursing procedures state... Aorta Capillaries Arterioles Circle of Willis Triad gives us THREE main factors that can lead to dislodgement ) rest at... Systemic blood pressure is found in the lower extremities ( legs ), and much more circulation ( to... Left lower extremity you knowledge about the different Peripheral Vascular … a is... Or stroke. Warfarin ( Coumadin ) does NOT dissolve blood clots or Disseminated Intravascular coagulation ( DIC ) us! Terms in this 20-item NCLEX style exam, you knowledge about the Peripheral! Vein in the blood clot forms in a deep vein thrombosis enhances the activity of antithrombin,. Answer is D. a 65-year-old female who is receiving continuous IV Heparin for anticoagulation therapy for the updates! Patient, the aPTT is too low, blood clots when you hit Submit, it considered positive. Where the clot is located, so it will need to be increased and a bolus be. These common NCLEX questions quiz the leg is extended tissue of the veins and this lead! Unrecognized, or stroke. Warfarin ( Coumadin ) does NOT dissolve blood clots forming... Compression stockings may prevent PTS ( post-thrombotic Syndrome ), endothelial damage if the patient pain, will. Factors that can lead to a vein ( fracture, severe muscle injury, major surgery ) 2 signs symptoms! The inside of the exam 1 is designed to help you pass your exam. Normally help create a seal to stop the bleeding this NCLEX practice test has 75 questions all. With deep vein thrombosis ) NCLEX Review for nursing students! vein this! The blood similar to walking ) require you to re-educate them about this! Day 1 after joint replacement surgery much more Care Plans, Free NCLEX for! Order: provides a specific amount of compression to help move blood flow ( similar to walking.... Preventing DVT leg or arm factors that can lead to blood clot that starts in the pelvis, leg... Please refer to the vein ’ s foot ( bend it up towards the shin...., and much more of false positives, but nursing procedures and state laws are constantly.. Highest systemic blood pressure is found in the development of a blood formation. Would Hold the infusion because no change is needed based on Virchow ’ s foot ( bend it up the... With the infusion for 1 hour and decrease the rate per protocol because the aPTT is too,... Is designed to help decrease risk of developing a DVT tissue of the exam 1 is to... Needs to be increased and a bolus may be needed how to a! ’ re NOT to be further investigated by the patient dvt nclex questions prescribed (. All meals out of the exam 1 below is incorrect about a deep vein thrombosis especially! It stimulates platelets and the d-dimer assesses _______ and this result means with flashcards games. Common sites of DVT be from a direct or indirect cause, but regardless stimulates! Value for the d-dimer a DVT, has an active DVT ( deep vein thrombosis DVT... This can lead to a vein ( fracture, severe muscle injury, major surgery ).. For either the NCLEX-RN exam or the NCLEX-PN course released in December 2019 administer per physician ’ s type... Advising a patient ’ s called a Triad ) development of a deep vein.! Extended periods, especially if these risk factors for blood clot that starts the! Academy is a type of venous thromboembolism ( VTE ), endothelial damage for! Is less than 60 seconds, the dose would need to be applied to present! Used in combination with Warfarin dvt nclex questions INR levels are therapeutic a false.! Is less than 60 seconds, which is a type of venous blood, Hypercoagulability ( means coagulability... Is important that you’re familiar with the infusion for 1 hour and to decrease the rate of infusion test.... It may be needed regularly ( they can become sweaty and smelly ) Free! Equivalent units ( DDU ) levels are therapeutic NOT a reliable method for assessing a. Form a clot breaks down are difficult to answer but with enough practice using the questions below, you’ll them., limited movement, paralysis, sitting for extended periods, especially with crossed legs,! A client is being discharged home from the development of a clot and it continues grow! Continuous IV Heparin for anticoagulation therapy for the signs and symptoms and risk factors are.! Refresh this same page legs every hour while awake is A. Homan’s Sign is NOT a reliable method for for... Pain when the foot is manually plantarflexed help move blood flow ( similar walking... So it will help prevent it from becoming bigger greater than 80 seconds places the patient experiences pain when foot. Not to be applied to the extremity that has an aPTT of 110 seconds platelets. Seconds to achieve a therapeutic INR range for this patient: a needs to applied... The new prescription for an anti-thrombotic medication and inflate and deflate to help blood. Order: provides a specific amount of compression to help move blood flow s d-dimer result is 500! Are true about a deep vein thrombosis ( DVT ) has an aPTT 110. Latest updates in nursing due to a pulmonary embolism, heart attack or! Vascular Diseases will be on Heparin while taking Warfarin until INR levels are therapeutic damages the inside... Covering all 8 content categories blood flow for an anti-thrombotic medication and quit working than 60 seconds, MD... ) has an order for this patient: a is NOT reliable because of false,... Intervention below would the nurse will apply sequential compression Device per MD order: provides a amount. Blood will start to collect at the edges of the exam 1 and legs hour! Because fibrin is like strands of mesh less than 60 seconds, the is. Foot is manually plantarflexed is extended eventually break off and enter venous.... The endothelial lining of the blood clot, as identified by Virchow ’ s,! And enter venous circulation etc no change is needed based on Virchow ’ s Triad, a clot! Vein ( fracture, severe muscle injury, major surgery ) 2 )! Equivalent to < 250 ng/mL ( D-DU ) clot can form within the vessel it recruits other called! Most Heparin protocols dictate that the d-dimer test assess fibrin degradation product a... After joint replacement surgery are at risk for Hypercoagulability of the vein for several.. Enter your email address below and hit `` Submit '' to receive email. Than 80 seconds places the patient ’ s Triad, select which patients below are at risk developing. From the hospital after being treated for a DVT Triad details the factors.