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Exam (elaborations)

BSN 266 Sherpaths Practice Questions and Answers | 100% Pass

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  • Course
  • BSN 266
  • Institution
  • BSN 266

BSN 266 Sherpaths Practice Questions and Answers | 100% Pass Venous Thromboembolism: Question 1 of 10 Why is a patient who leads a sedentary lifestyle at increased risk for developing a venous thromboembolism (VTE)? Platelet aggregation is increased during inactivity. A sedentary lifestyle c...

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  • September 26, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BSN 266
  • BSN 266
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR
©2024EMILLYCHARLOTTE. ALL RIGHTS RESERVED.
FIRST PUBLISH SEPTEMBER 2024

BSN 266 Sherpaths Practice Questions
and Answers | 100% Pass

Venous Thromboembolism:


Question 1 of 10


Why is a patient who leads a sedentary lifestyle at increased risk for developing a venous

thromboembolism (VTE)?


Platelet aggregation is increased during inactivity.


A sedentary lifestyle causes damage to the vein endothelium.


Muscles that are inactive have a higher incidence of venous stasis.


Inactivity leads to dysfunctional valves and a change in the unidirectional blood flow. -

Answer✔✔-Muscles that are inactive have a higher incidence of venous stasis.


Venous stasis can occur when the muscles of the extremities are inactive. Venous stasis is

a risk factor in Virchow's triad.


Question 2 of 10


Which patient is showing clinical manifestations of a lower extremity venous

thromboembolism (VTE)?


The patient with a palpable subcutaneous cordlike vein with itchiness

1/27

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR
©2024EMILLYCHARLOTTE. ALL RIGHTS RESERVED.
FIRST PUBLISH SEPTEMBER 2024
The patient with unilateral leg edema with tenderness and warm skin


The patient with lower extremity pain during walking that is relieved by rest


The patient with shortness of breath, chest pressure, and low oxygen saturation -

Answer✔✔-The patient with unilateral leg edema with tenderness and warm skin


Not all patients with lower extremity VTE will experience symptoms. However, when

present, patients will present with unilateral leg edema, pain, paresthesia erythema, and

warm skin and fever.


Question 3 of 10


A patient presents to the emergency department with shortness of breath. Which

laboratory finding would be most concerning to the nurse?


D-dimer 441 mcg/L


WBC 7800 cells/mcL


Troponin <0.01 ng/mL


Brain Natriuretic Peptide (BNP) 10 pg/mL - Answer✔✔-D-dimer 441 mcg/L


This D-dimer level would be most concerning. An elevated D-dimer can aid in the

diagnosis of suspected pulmonary embolism (PE). Further assessment is needed for this

patient immediately.


Question 4 of 10
2/27

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR
©2024EMILLYCHARLOTTE. ALL RIGHTS RESERVED.
FIRST PUBLISH SEPTEMBER 2024
The patient with a history of venous thromboembolism (VTE) has been taking warfarin

long-term and presents to the clinic with frequent nosebleeds. Which laboratory value

should cause the nurse to contact the ordering health care provider?


Platelet count 275,000/mm3


Prothrombin time (PT) 18.2 seconds


International normalized ratio (INR) 6.3


Activate Partial Thromboplastin Time (aPTT) 34 seconds - Answer✔✔-International

normalized ratio (INR) 6.3


This finding would indicate the warfarin dosing needs adjustment. An INR level of 4.3 is

above the therapeutic range, putting the patient at risk for hemorrhage. The nurse should

communicate this finding to the ordering health care provider.


Question 5 of 10


The patient with a lower extremity venous thromboembolism (VTE) is receiving heparin

sodium intravenously (IV) and is scheduled for emergency surgery. Which action will the

nurse anticipate?


Administer intravenous protamine.


Administer intramuscular (IM) Vitamin K.


Monitor international nationalized ratio (INR) level.

3/27

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