Author Question: A patient with a deep vein thrombosis (DVT) is going to be weaned from intravenous heparin. When ... (Read 70 times)

geoffrey · **on:** Jun 25, 2018

A patient with a deep vein thrombosis (DVT) is going to be weaned from intravenous heparin. When should the nurse anticipate that oral warfarin sodium would be prescribed?

1. the same day the heparin is discontinued
2. the day before the heparin is discontinued
3. four to five days before the heparin is discontinued
4. the same day as the heparin is started

Question 2

The nurse is planning care for a patient who was diagnosed with deep vein thrombosis (DVT). What should be included in this plan of care?

1. Activity as tolerated.
2. Measure and apply elastic antiembolism stockings.
3. Encourage the patient to sit out of bed several hours every day.
4. Assist patient with putting on tight-fitting pants.

mirabriestensky · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Oral anticoagulation with warfarin may be initiated concurrently with heparin therapy. Overlapping heparin and warfarin therapy for four to five days is important because the full anticoagulant effect of warfarin is delayed, and it may actually promote clotting during the first few days of therapy.

Answer to Question 2

Correct Answer: 2
The plan of care for a patient with deep vein thrombosis (DVT) includes possible bed rest, the duration of which is determined by the extent of leg edema. Elastic antiembolism stockings are frequently ordered to stimulate the muscle-pumping mechanism that promotes the return of blood to the heart. Avoid prolonged standing or sitting. Avoid tight-fitting garments.