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. Free NCLEX Practice Test Questions For: “Safe and Effective Care Environment – Management of Care” Your NCLEX practice should cover all tested NCSBN competencies in detail and at the same level of difficulty as the real exam. Which statement below is incorrect about a deep vein thrombosis (DVT)? Used in combination with Warfarin until INR is therapeutic and then Heparin is discontinued. Answer: B. What are some conditions that cause stasis of blood flow? So, when they start to work within the vessel it recruits other chemicals called clotting factors. What is the therapeutic INR range for this medication? It may be slightly higher if a patient is at a high risk for clot formation…. Most Heparin protocols dictate that the nurse would hold the infusion for 1 hour and to decrease the rate of infusion. (NOTE: When you hit submit, it will refresh this same page. Blood cannot just hang out and become static within a vessel. The answers are B, C, and D. Virchow’s Triad details the THREE factors for blood clot formation within the vessel. One of the two subsections of the Safe and Effective Care Environment category is “Management of Care.” Clotting factors cause fibrin to be created. 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.”. 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. The platelets start to collect at the edges of the vessel, usually within the cusps of the vein’s valve. Prevention…very simple but so beneficial…nurses play a HUGE role with this! [10 questions] The highest systemic blood pressure is found in the: Aorta Capillaries Arterioles Circle of Willis. What are the risk factors for developing a deep vein thrombosis (DVT)? Teach patient to perform exercises by flexing and extending feet and legs every hour while awake. Which of the following medications is an anti-thrombotic? Extend the patient’s leg and manually dorsiflex the patient’s foot (bend it up towards the shin). Topics: Peripheral Vascular … Deep Vein Thrombosis (DVT) NCLEX Review. DVT (deep vein thrombosis) NCLEX questions for nursing students! aPTT values should be around 60-80 seconds to achieve a therapeutic response for Heparin. 5. Play as. 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These common NCLEX questions are difficult to answer but with enough practice using the questions below, you’ll ace them! 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. This test is designed to help you prepare for either the NCLEX-RN exam or the NCLEX-PN exam. 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. Apply cool compresses to affected extremity, D. Elevate affected extremity above heart level, H. Apply sequential compression device (SCD) to the affected extremity. DVT NCLEX Questions. Text Mode – Text version of the exam 1. 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). Questions to ask if you suspect DVT • If the patient complains of lower leg or calf pain, do a further assessment of the extremity. A. fibrin degradation fragment; positive for a blood clot, B. platelet degradation protein; negative for a blood clot, C. clotting factors; positive for a blood clot, D. fibrin degradation fragment; negative for a blood clot. Version 9 of the NCLEX-PN course released in December 2019. The nurse knows that the D-dimer assesses _______ and this result means? It can lead to FALSE positives. 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. Since it’s a Vitamin K antagonist, it will work to inhibit clotting factors from using Vitamin K. Slow onset….takes 3-5 day for patient to become therapeutic, Monitor PT/INR…therapeutic INR is 2-3 (less than 2…not therapeutic) and greater than 3 at risk for bleeding). Retrieved 1 November 2019, from https://www.nhlbi.nih.gov/health-topics/venous-thromboembolism, What is Venous Thromboembolism? This can lead to a pulmonary embolism, heart attack, or stroke.  Warfarin (Coumadin) does NOT start working immediately. … What veins are most susceptible for a DVT? True or False: Assessment of Homan’s Sign is the most reliable indicator of a deep vein thrombosis. NCLEX Study Guide. Fibrin causes the big problem in terms of a clot developing because fibrin is like strands of mesh. The legs are the most common sites of DVT. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. Quiz Flashcard. Regardless of the factor(s) contributing to the blood clot, as identified by Virchow’s Triad, platelets are involved. 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