Deep vein thrombosis (DVT) and venous thromboembolism (VTE) prevention methods include which of the following? Select all that apply.

Subcutaneous administration of Lovenox or heparin

Graduated compression stockings (e.g., thromboembolic deterrent [TED] hose)

Intermittent pneumatic compression devices (IPCs)

Strict bed rest

Early and aggressive mobilization

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Subcutaneous administration of anticoagulants like Lovenox (enoxaparin) or heparin is a common and effective method for preventing DVT and VTE. These medications help prevent clot formation by thinning the blood and reducing the risk of thrombus development.

Choice B reason: Graduated compression stockings, such as thromboembolic deterrent (TED) hose, are used to improve blood flow in the legs and prevent the formation of blood clots. They apply consistent pressure to the legs, helping to maintain venous return and reduce the risk of DVT.

Choice C reason: Intermittent pneumatic compression devices (IPCs) are also used to prevent DVT and VTE. These devices periodically inflate and deflate, applying pressure to the legs to stimulate blood flow and prevent blood stasis, which can lead to clot formation.

Choice D reason: Strict bed rest is not recommended for DVT and VTE prevention. Prolonged immobility can increase the risk of clot formation. Encouraging early mobilization and activity is crucial to reduce the risk of DVT.

Choice E reason: Early and aggressive mobilization is a key strategy in preventing DVT and VTE. Encouraging patients to move and engage in physical activity as soon as it is safe to do so helps promote blood circulation and prevent the development of blood clots.

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Correct Answer is D,A,B,C

Explanation

Choice D reason: Elevating the head of the bed to 45 degrees is the first intervention the nurse should perform. This position helps lower the patient's blood pressure by promoting venous pooling in the lower extremities and reducing the return of blood to the heart. It also aids in better breathing and overall comfort.

Choice A reason: Checking the blood pressure is crucial in this situation to confirm if the patient is experiencing autonomic dysreflexia, which is characterized by a sudden and severe increase in blood pressure. This step helps in assessing the severity of the condition and guiding subsequent interventions.

Choice B reason: Obtaining a bladder scan is important because a full bladder is a common trigger of autonomic dysreflexia. By identifying and addressing the cause of the distension, the nurse can help alleviate the symptoms and prevent further complications.

Choice C reason: Notifying the doctor is a critical step, as autonomic dysreflexia is a medical emergency that requires prompt medical intervention. The healthcare provider can give additional orders and may administer medication to control the patient's blood pressure and relieve symptoms.

A. True B. False

Correct Answer is A

Explanation

Reason: Emotional distress can indeed decrease treatment adherence. Patients experiencing high levels of emotional distress, such as anxiety, depression, or fear, may find it challenging to follow their treatment regimens consistently. This can result in missed appointments, skipped medications, and overall reduced compliance with their healthcare plan. Emotional support and mental health interventions are crucial for improving adherence and overall treatment outcomes.

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Deep vein thrombosis (DVT) and venous thromboembolism (VTE) prevention methods include which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your spinal cord injury (SCI) patient complains of a throbbing headache and nausea. You observe the patient has marked diaphoresis, and you think the patient may have autonomic dysreflexia. Place the following interventions in the order you would complete them.

Correct Answer is D,A,B,C

Explanation

Correct Answer is A

Explanation

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