A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?

Decreased pedal pulses

Unilateral leg edema

Ecchymosis on the foot and ankle

Coolness of the skin

Answer and Explanation

The Correct Answer is B

Choice A reason: Decreased pedal pulses could indicate a vascular issue but are not specific to DVT.

Choice B reason: Unilateral leg edema, especially when it is sudden, can be a sign of DVT and is the most indicative of the choices provided.

Choice C reason: Ecchymosis, or bruising, on the foot and ankle can be caused by many factors and is not specific to DVT.

Choice D reason: Coolness of the skin can be a sign of poor circulation but is not specific to DVT.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

A. Atropine B. Protamine C. Vitamin K D. Epinephrine

Correct Answer is C

Explanation

Choice A reason: Atropine is used to treat bradycardia and is not an antidote for warfarin overdose.

Choice B reason: Protamine is used to reverse the eﬀects of heparin, not warfarin.

Choice C reason: Vitamin K is the antidote for warfarin overdose as it helps in the synthesis of clotting factors that warfarin inhibits.

Choice D reason: Epinephrine is used for severe allergic reactions and cardiac arrest, not as an antidote for warfarin overdose.

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A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a patient who is receiving warfarin therapy to prevent deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

Correct Answer is C

Explanation

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