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concept in nursing 2
Venous Thromboembolism: Postoperative Prevention (Perioperative)
Question | Answer |
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A patient has just undergone general surgery. VTE prophylactic medications were not initiated. Swelling is noticed in the patient’s left leg, and it feels warm to the touch. | -- |
The patient begins to complain of a cramping pain in the leg and notices skin redness. What do these signs indicate? | DVT |
What is one of the deadliest complications of DVT? | PE |
Dehydration and immobility during prolonged surgeries predispose a patient to developing DVT. Because of this risk, which intervention should the unscrubbed perioperative team member implement? | Encouraging early ambulation and leg exercises |
The use of compression stockings requires that the patient be measured for the stockings to ensure correct fit and be instructed on proper placement. What may result from failure to ensure proper fit and patient education? | A tourniquet effect |
A patient is placed on VTE prophylactic medications that include anticoagulants. Which of these statements from the patient indicates the need for additional education about anticoagulants? | “If I miss a dose, I should take it as soon as possible and double the amount.” |
When does the process of assessing patients for VTE begin? | Preoperatively, while assessing the patient’s health history |
While in the PACU, a patient complains of shortness of breath, chest pains, palpitations, and sweating. What is the likely cause of these findings? | PE |
Which statement is true regarding age and the risk for VTE? | For each decade of life after age 40, the risk for VTE doubles. |
For what age pediatric patient would SCDs be used for the prevention of VTE? | A 13-year-old patient |
The postoperative plan for a patient in the PACU includes wearing compression stockings for 72 hours. When should the compression stockings be placed on the patient? | Preoperatively |