adult health

Question 1

Risk factors and prevention:

Answer 1

Virchow Triad identifies blood stasis, endothelial injury, and
hypercoagulable states as key factors in VTE development. Prevention measures include avoiding
prolonged immobility and smoking cessation.

Question 2

DVT symptoms:

Answer 2

DVT symptoms include tenderness, swelling, warmth, and erythema in the
affected extremity.

Question 3

PE symptoms:

Answer 3

PE symptoms include dyspnea, chest pain, and decreased pulse oximetry.

Question 4

Bleeding precautions:

Answer 4

The #1 priority for
clients taking anticoagulants is implementing bleeding precautions. This includes using a soft-bristle toothbrush and an electric razor.

Question 5

Bleeding precautions:

Answer 5

The nurse should avoid invasive procedures such as rectal temperatures and administering
IM medications.

Question 6

PE prevention:

Answer 6

To prevent dislodgement of a DVT, avoid massaging the affected extremity, and do
not apply sequential compression devices (SCDs)
to an extremity with signs of a clot.

Question 7

PE interventions:

Answer 7

If PE is suspected, position the client in the Fowler position, monitor pulse oximetry,
and provide supplemental oxygen.