B ~ This client has manifestations of a pulmonary embolism, and the most critical action is to notify the Rapid Response Team for speedy diagnosis and treatment. Deep Vein Thrombosis (DVT) NCLEX Review. When you take the NCLEX exam or work as a nurse you will be expected to know basic normal lab value ranges. All questions are shown, but the results will only be given after you’ve finished the quiz. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin? What menu selection for dinner indicates the client needs more education regarding this medication? Prolonged times of partial thromboplastin time in clients with pulmonary embolism (>75 sec) indicates that the client is at risk for serious spontaneous bleeding. The nurse should explore this possibility with the client. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. Flashcards. B ~ Often clients are discharged from the hospital on warfarin (Coumadin) after a PE. The student nurse asks why the clients oxygen saturation has not significantly improved. Maybe the client has respiratory distress syndrome. ! Feedback. A client with a new pulmonary embolism (PE) is anxious. (Select all that apply.). What statement by client is an immediate concern for nurse? (med-surg pg 263). 2. The patient has a chronic productive cough with dyspnea on excretion. A nurse planning to administer IV alteplase (activase) to a client who is demonstrating manifestations of a massive PE. Using a calm, quiet voice is also reassuring. The nurse noticed that breath sound is diminished on both lung bases of the patient with chronic obstructive pulmonary disease (COPD). A client has a pulmonary embolism and is started on oxygen. A nurse also notes superficial thrombophlebitis of the lower leg. Finally, in this section of the article, you will be able to get access to the Uworld NCLEX Questions PDF 2018 Free Download files. Varicose veins can cause changes in what component of Virchow's triad? Pneumonia If this assessment is normal, the nurse would follow the mnemonic and assess the patency of the tube and connections and perform suction. What response by the nurse is best? However, clients with a variation in the CYP2C19 gene do not metabolize warfarin well and have higher blood levels and more side effects. (Select all that apply. The nurse interprets that the neurovascular status is? The client may need to be mechanically ventilated, but without concrete data on FiO2 and SaO2, the nurse cannot make that judgment. Take a quick interactive quiz on the concepts in Pulmonary Hypertension: Diagnosis & Treatment or print the worksheet to practice offline. The nurse can acknowledge the clients fears, delegate comfort measures, give simple explanations the client will understand, and stay with the client. The patient also presented with rapid breathing, pale lips, and cold, clammy skin. Which of the following clients are at risk for having pulmonary embolism? A nurse has an order to begin administering warfarin sodium (coumadin) to a client. Included topics in this practice quiz are: 1. Learn. The nurse should be aware of how the drug works, why it is ordered, nursing implications, signs and symptoms of an adverse reaction (example: Heparin-induced thrombocytopenia HIT), and the patient teaching. Gastrointestinal Disorders Quiz. Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE. Overview When a blood clot lodges in an artery in the lung, it cuts off blood supply and can quickly become fatal. In this video I discuss pulmonary embolism! The student nurse asks why the clients oxygen saturation has not significantly improved. D ~ Stress ulcers occur in many clients who are receiving mechanical ventilation, and often prophylactic medications are used to prevent them. Chronic Obstructive Pulmonary Disease(COPD) 4. Unless the clot is dissolved, this process will continue unabated. 1. Diabetes Mellitus Quiz. Encouraging the client to walk is healthy, but is not related to the development of a PE in this case, nor is smoking. DVT (deep vein thrombosis) NCLEX questions for nursing students! A nurse is caring for several clients. What are S/S should nurse expect to find? 1) Increased bronchoconstriction in the embolized area (Injury causes inflammation which causes constriction) 2) Increased dead space and … During the Quiz End of Quiz. 4. … Bronchial Asthma 3. This 40-item NCLEX practice quiz can definitely help you ace the exam and reach your dreams of becoming an RN! NCLEX Pulmonary Edema – Signs and Symptoms A client with no known risk factors for this disorder should be referred for testing. A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and having a blood pressure of 88/52 mm Hg on the cardiac monitor. Spell. In formulating a response, the nurse incorporates the understanding that warfarin sodium? Although pulmonary edema can sometimes prove fatal, the outlook improves when you receive prompt treatment for pulmonary edema along with treatment for the underlying problem. A client is hospitalized with a second episode of pulmonary embolism (PE). While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit? (select all that apply)(med-surg pg 263) A. Bradypnea (slow breathing) B. Pleural friction rub (raspy sound on exhale) C. Hypertension (high BP) D. Petechiae (red/purple spots on … A soft-bristled toothbrush is a safety measure for clients on anticoagulation therapy. NCLEX-PN Practice Questions. RENAL NCLEX QUESTIONS. What action by the nurse takes priority? Warfarin is not indicated in this situation. Heparin NCLEX questions (anticoagulation) for nursing students! In preparation for discharge of a client with arterial insufficiency and Raynaud's disease, client teaching instructions should include? Diseases of the Respiratory System 2. Quiz Flashcard. The client asks the nurse why both medications are being administered. The nurse would inspect the surgical site most closely for signs of? While most DVTs happen in the legs, they can also occur in other parts of the body such as the arms or abdomen. What response by the nurse is best? The other actions are appropriate also but are not the priority. It would be impossible to eliminate all vitamin K from the diet. Which of the following assessment findings by the nurse is probably unrelated to the aneurysm? For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? 2. Causes decreased perfusion, hypoxemia, and if large enough, right-sided heart failure. Difficulty. A chronic illness support group may be needed, but this is not the best intervention as it is not as specific to the client as the IVC filter. C ~ Factor V Leiden is an inherited thrombophilia that can lead to abnormal clotting events, including PE. Finding another provider is not appropriate at this time. It’s the formation of a clot within a deep vein. If the clients anxiety is interfering with diagnostic testing or treatment, they can be used, but there is no evidence that this is the case. COPD NCLEX Questions. Posted on 26-Feb-2020. The pedal pulse is palpable and unchanged from admission. What action by the nurse takes priority? B ~ This platelet count is low and could indicate heparin-induced thrombocytopenia. Also, these files are on an online repository for safer downloading. What is priority action at this time? Question 3. A nurse is teaching a client about warfarin (Coumadin). Which action should the nurse plan to take? Emergency Nursing & Triage. A student nurse asks for an explanation of refractory hypoxemia. Pass Your NCLEX Exam! a. The nurse would next assess the client for? His current concern is calf pain during minimal exercise that decreased with rest. Although there are cases of disease where no cause is ever found, this assumption is premature. If a DVT is suspected, it is important to … What action by the nurse is most appropriate? Newborn Care & Assessment. This includes results for the complete blood count, metabolic panel, arterial blood gas analysis, certain drug therapeutic ranges, lipid panels, and coagulation levels. What is it? Created by. A client is on a ventilator and is sedated. Settings. Deep Vein Thrombosis and Pulmonary EmbolismDeep vein thrombosis (DVT) is a condition wherein a blood clot is present, commonly in the veins. Burns Management Quiz. This client is a poor candidate for warfarin therapy, and the prescriber will most likely order an IVC filter device to be implanted. Arterial blood gases show a … What medication should the nurse anticipate the client will need as the priority? What are the pulmonary effects of a pulmonary embolism? The other options are not related. It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. A pulmonary embolism is a life-threatening blood clot in the lungs caused by an embolus (usually blot clot) from a vein in the lower extremity, or from clots that form after surgery. True or False: COPD is reversible and tends to happens gradually. Client says feels anxious and cant get enough air. Recent genetic testing reveals the client has an alteration in the gene CYP2C19. A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). Diseases of the Respiratory System 2. A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. What answer by the nurse instructor is best? Test. Questions on this exam are taken from random various nursing concepts. What are S/S should nurse expect to find? According to Virchow's Triad, a blood clot can form within the vein for several reasons. A client is admitted with a venous stasis leg ulcer. Which medication prescribed concurrenty to treat an adverse effect of diabigatran? What action by the student requires immediate intervention by the supervising nurse? Walking several times/day as exercise program. A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. A nurse is planning to administer subcutaneous enoxaparin (lovenox) to an adult client following hip arthroplasty. Treatment for pulmonary edema varies depending on the cause but generally includes supplemental oxygen and medications. RATIONALE: An increased risk of pulmonary embolism is associated with obesity, malignancy, heavy cigarette smoking, and prolonged air travel with reduced mobility. Stimulates breakdown of specific clotting factors by liver, takes 2-3 days for this exhibit an anticoagulant effect. C ~ Each intubation attempt should not exceed 30 seconds (15 is preferable) as it causes hypoxia. The other actions are not appropriate for a hypoxic client. Pneumonia Question 4. Hyperventilation can interfere with oxygenation by shallow breathing, but there is no evidence that the client is hyperventilating, and this is also not the most precise physiologic answer. The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is? A nurse is caring for five clients. A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. Question 5. A client is on intravenous heparin to treat a pulmonary embolism. 2. ), When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? An acute obstruction in vessels of legs. Heparin is an anticoagulant that helps prevent and treat blood clots. This is a part of my playlist for respiratory disorders. It is a cardinal sign of acute respiratory distress syndrome. Chronic Obstructive Pulmonary Disease(COPD) 4. B ~ Warfarin works by inhibiting the synthesis of vitamin K dependent clotting factors. Growth and Development Quiz. NCLEX Review: DVT – Prevention and Treatment. Once a DVT has developed it could result in a pulmonary embolism (PE). A ~ Pulse oximetry is not always the most accurate assessment tool for hypoxia as many factors can interfere, producing normal or near-normal readings in the setting of hypoxia. As the nurse, you will want to be familiar with the prevention of a blood clot (venous thromboembolism VTE), management of a DVT, and anticoagulation therapy. Intravenous heparin therapy is ordered for a client. The client begins to vomit blood. Cancer can cause changes in what component of Virchow's triad? Uworld NCLEX Questions PDF 2018 Free Download Section. You are given 1 minute per question, a total of 10 minutes in this quiz. The other type of VTE is a pulmonary embolism, which is where a deep vein … C, D, E ~ Health promotion measures for clients to prevent thromboembolic events such as PE include maintaining a healthy weight, exercising on a regular basis, and not smoking. (Select all that apply)(med-surg pg 263), A nurse is reviewing prescriptions for client who has SOB, diaphoresis. d. Give IM enoxaparin along with alteplase dose, A nurse is monitoring a client who takes aspirin 81mg PO daily. What should the nurse recognize as contraindication to therapy? A deep vein thrombosis (DVT) is a blood clot that forms within the vein. Match. Deep vein thrombosis, a related condition, refers to thrombus formation in the deep veins, usually in the calf or thigh, but sometimes in the arm, especially in patients with peripherally inserted central catheters. Mike, a 43-year old construction worker, has a history of hypertension. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. (select all that apply)(med-surg pg 263), A nurse is caring for a client who is to receive fibrinolytic thrombolytic therapy (tPA). Which of the following manifestations are adverse effects of daily aspirin therapy? Normal because of increased blood flow through leg. NCLEX review questions: Respiratory. Heparin is usually held or decreased until the PTT drops back into therapeutic range. A nurse is caring for a client who had A-Fib and has a new prescription for dabigatran (Pradaxa) to prevent development of thrombosis. This NCLEX review video is on preventing DVTs. What care may the nurse delegate to the unlicensed assistive personnel (UAP)? A vegetarian may have trouble maintaining this diet. a. 1. A. Sedatives and antianxiety medications are not used routinely because they can contribute to hypoxia. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. ABGs evaluate oxygenation level, but they do not diagnose a pulmonary embolism. A nurse is caring for four clients on intravenous heparin therapy. The affected leg is warm, and the nurse notes redness and edema. About This Quiz & Worksheet. (Parts 1 … Question 6. A nurse is assisting the health care provider who is intubating a client. A ~ Activase is a clot-busting agent indicated in large PEs in the setting of hemodynamic instability. Guidelines. (med-surg pg 263), A nurse is assessing a client who has pulmonary embolism. A student nurse is preparing to administer enoxaparin (Lovenox) to a client. Start. Terms in this set (32) A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. The nurse should conduct a more thorough assessment. B ~ For clients on heparin, a PTT of 1.5 to 2.5 times the normal value is needed to demonstrate the heparin is working. What action by the nurse takes priority? Questions. Breathing so rapidly interferes with oxygenation. What order should the nurse anticipate? Gravity. The nurse should interrupt the intubation attempt and give the client oxygen. A client is admitted with a pulmonary embolism (PE). If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. 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