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concept in nursing 2
Venous Thromboembolism: Nonpharmacologic Interventions (Perioperative)
| Question | Answer |
|---|---|
| A 64-year-old patient with a history of hypertension who has smoked a pack of cigarettes per day since age 16 years is admitted to the preoperative area. The preoperative orders do not indicate VTE prophylaxis therapy. | -- |
| What is the next step before taking the patient to the operating room or procedure room? | Discuss VTE prophylaxis orders with the practitioner for the patient. |
| Several operative or invasive procedures are scheduled on the operating room or procedure room schedule. Which patient has an increased risk of VTE and should be assessed for VTE prophylaxis therapy? | A 41-year-old patient with a history of breast cancer |
| A 37-year-old patient admitted for a right modified radical mastectomy with node dissection for breast cancer has orders for GCSs. The unscrubbed perioperative team member cannot find the tape measure, and the patient is ready to go to the operating room. | -- |
| What should the team member do next? | Ask the perioperative team members to wait while the patient is properly measured and fitted for the GCSs. |
| A patient who is about to undergo a left Achilles tendon reconstruction has an order for SCDs to be placed on the nonoperative leg as a prophylactic VTE measure. What should the unscrubbed perioperative team member do? | Place the SCDs on the patient and ensure that there are no wrinkles in the SCD material. |
| The unscrubbed perioperative team member is assessing a 60-year-old patient for the first time before the patient undergoes an operative procedure. Because this is the first meeting with the patient, what should the team member do? | Review the patient’s health history and address the need for VTE prophylaxis therapy. |
| The Virchow triad consists of which three risk factors for VTE? | Stasis of blood flow, venous wall injury or damage, and blood hypercoagulability |
| The use of GCSs requires that the patient’s legs be measured to ensure correct fit and the patient be instructed on correct placement. What might result from failure to ensure the correct fit of GCSs and to educate the patient on their use? | A tourniquet effect |
Created by:
Lightnning54
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