A nurse is assessing a postpartum client.
36-year-old postpartum client who delivered twins via cesarean birth 3 weeks ago.
Reports throbbing pain as 7 on a scale of 0 to 10, swelling, discoloration, and warmth in left calf for two days. Also reports shortness of breath for the last 8 hours,
Drag words from the choices below to fill in each blank in the following sentence.
To confirm a diagnosis of DVT, the nurse anticipates provider orders for
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
- D-dimer is a blood test used to detect fibrin degradation products, which are elevated in conditions involving clot formation, such as deep vein thrombosis (DVT).
- Venous duplex ultrasound is the gold standard for diagnosing DVT, as it provides real-time imaging of blood flow and clot presence in the veins.
- Prothrombin time is a coagulation test used to assess clotting function but does not confirm DVT.
- Chest X-ray is not used to diagnose DVT but may be ordered if a pulmonary embolism (PE) is suspected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Taking a diuretic before bed can lead to nocturia and disrupt sleep. It is usually recommended to take it in the morning.
B. Daily weight tracking helps detect fluid retention, a key indicator of worsening heart failure. A weight gain of 2 lbs in 24 hours or 5 lbs in a week should be reported to the provider.
C. NSAIDs (e.g., naproxen) should be avoided as they can cause fluid retention and worsen heart failure.
D. Sodium intake should be limited to 2 grams (2000 mg) per day, not 4 grams, to help prevent fluid overload.
Correct Answer is B
Explanation
A. Amiodarone is an antiarrhythmic medication used after defibrillation and CPR in persistent ventricular fibrillation (VF) or ventricular tachycardia (VT). However, it is not the first priority.
B. Defibrillation is the immediate priority in a pulseless client with ventricular fibrillation. Early defibrillation increases the chances of survival. The shock should be delivered as soon as possible.
C. Epinephrine is given after the first defibrillation and CPR cycle, not before.
D. Synchronized cardioversion is inappropriate because it is used for unstable tachyarrhythmias with a pulse, not pulseless VF.
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