A nurse is caring for a client receiving intravenous (IV) heparin therapy for deep vein thrombosis (DVT). What is the nurse's priority action to ensure safe administration of the medication?

Monitoring the client's prothrombin time (PT) and international normalized ratio (INR).

Assessing the client's liver function regularly.

Administering heparin via a central venous catheter.

Monitoring the client's activated partial thromboplastin time (aPTT).

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because monitoring prothrombin time (PT) and international normalized ratio (INR) is more relevant to monitoring oral anticoagulant therapy (e.g., warfarin) and not intravenous heparin therapy.

B) This choice is incorrect because while liver function tests may be important for some medications, they are not the priority for clients on intravenous heparin therapy. Heparin is primarily eliminated by the kidneys.

C) This choice is incorrect because while administering heparin via a central venous catheter is possible, it is not the priority action for safe administration. Monitoring the client's response to heparin therapy is more important.

D) This choice is correct. Monitoring the client's activated partial thromboplastin time (aPTT) is the priority action when administering intravenous heparin. The aPTT reflects the client's response to heparin and helps adjust the dosage to achieve the desired therapeutic effect while minimizing the risk of bleeding.

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Correct Answer is D

Explanation

A) This choice is incorrect because regular physical activity is an essential preventive measure for DVT. Encouraging the client to engage in physical activity is vital for maintaining good circulation and reducing the risk of clot formation.

B) This choice is incorrect because a diet high in saturated fats and cholesterol is not a recommended preventive measure for DVT. A healthy, balanced diet is important for overall health, but it does not specifically prevent DVT.

C) This choice is incorrect because elevating the legs above heart level while resting is beneficial for reducing edema and improving blood flow but is not the primary preventive measure for DVT.

D) This choice is correct. The client should continue taking prescribed anticoagulant medication as directed by their healthcare provider. Anticoagulant therapy is often prescribed for a specific duration to prevent clot formation and reduce the risk of complications in clients with DVT.

A. "My age and family history put me at risk for DVT." B. "I will stop taking my prescribed anticoagulant medication." C. "I will quit smoking to reduce my risk of DVT." D. "I cannot control my sedentary lifestyle."

Correct Answer is C

Explanation

A) This choice is incorrect because age and family history are non-modifiable risk factors for DVT. While they may increase the risk, they cannot be changed or controlled by the client.

B) This choice is incorrect because stopping prescribed anticoagulant medication is not recommended and may increase the risk of DVT. Anticoagulants are often prescribed to prevent or treat DVT and should not be discontinued without healthcare provider guidance.

C) This choice is correct. Smoking is a modifiable risk factor for DVT, and quitting smoking can reduce the risk of blood clot formation and other cardiovascular complications.

D) This choice is incorrect because while the client may have difficulty controlling a sedentary lifestyle, it is still considered a modifiable risk factor for DVT. Engaging in regular physical activity can help reduce the risk of blood clot formation.

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A nurse is caring for a client receiving intravenous (IV) heparin therapy for deep vein thrombosis (DVT). What is the nurse's priority action to ensure safe administration of the medication?

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Naxlex Comprehensive Predictor Exams

A client with deep vein thrombosis (DVT) is being discharged from the hospital. What should the nurse include in the client's discharge teaching to promote ongoing preventive measures?

Correct Answer is D

Explanation

A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which client statement indicates an understanding of modifiable risk factors?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected deep vein thrombosis (DVT). Which diagnostic test should the nurse anticipate to confirm the presence of DVT?

A nurse is providing education to a client with deep vein thrombosis (DVT) about potential complications. Which symptom should the nurse instruct the client to report immediately?

A nurse is reviewing the diagnostic workup for a client with suspected deep vein thrombosis (DVT). Which test should the nurse expect to be performed first to assess the client's risk for DVT?

A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which statement made by the client indicates a need for further teaching?

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