Question 12Type: MCSAA number of patients on the unit are at risk for deep venous thrombosis (DVT). The nurse would consider which patient at highest risk?
1. The patient who had oral surgery2. The patient who has pneumonia3. The patient with diabetes4. The patient who had a hip replacementCorrect Answer: Rationale 1: Oral surgery does not place a patient at high risk for DVT.Rationale 2: Pneumonia does not put a patient at risk for DVT unless the patient experiences complications such as respiratory failure or sepsis.Rationale 3: Diabetes does not place a patient at high risk for DVT.Rationale 4: Major orthopedic surgeries such as total hip or total knee replacement put a patient at high risk for DVT.
4
Global Rationale:
Cognitive Level:
Applying
Client Need:
Physiological Integrity
Client Need Sub:
Physiological Adaptation
Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome:
35-3
Question 13Type: MCSAA 38-year-old, 150-pound male has been diagnosed with deep venous thrombosis (DVT). The patient's history includes recent cardiac bypass surgery, working in a pesticide plant, and hypertension. The family asks what might have put the patient at risk for DVT. How should the nurse respond?
4
Global Rationale:
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Client Need Sub:
Physiological Adaptation
Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome:
35-3
Question 14Type: MCSAA patient on clopidogrel (Plavix) is receiving discharge instructions. What information should the nurse provide?
4
Global Rationale:
Cognitive Level:
Applying
Client Need:
Physiological Integrity
Client Need Sub:
Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome:
35-5
