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 D
Explanation
A. External pacing is not indicated for ventricular tachycardia with a pulse. Pacing is typically used for bradyarrhythmias.
B. CPR is only necessary if the client is pulseless. Since the client has a pulse, a more appropriate intervention is needed.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, but this client has a pulse and is symptomatic.
D. Synchronized cardioversion is the appropriate intervention for unstable ventricular tachycardia with a pulse. The shock is synchronized to the R wave to prevent inducing ventricular fibrillation.
Correct Answer is C
Explanation
A. Nitroglycerin is used for angina and does not interact with contrast material or increase the risk of acute kidney injury.
B. Atorvastatin, a statin medication, is not known to interact with contrast dye or cause kidney injury in this context.
C. Metformin is contraindicated with contrast dye because it can increase the risk of lactic acidosis, especially in clients with impaired renal function. It should be withheld before and after the procedure to prevent complications.
D. Carvedilol, a beta-blocker, is used for blood pressure and heart failure management but does not interfere with contrast dye.
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