Author Question: A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The ... (Read 169 times)

Themember4 · **on:** Jun 25, 2018

A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The nurse anticipates that which treatment would be indicated for the patient at this time?

1. heparin
2. prevention
3. vena cava filter
4. massaging the affected extremity

Question 2

A patient diagnosed with a fractured left femur complains of chest pain, shortness of breath, and a rash on the chest. What complication should the nurse suspect?

1. fat embolism syndrome
2. deep vein thrombosis
3. compartment syndrome
4. disseminated intravascular coagulation (DIC)

momo1250 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

The best treatment for DVT is prevention. Early mobilization of the fracture and early ambulation of the patient are imperative. Frequent assessment of the injured extremity may lead to early recognition of DVT and prevent the formation of pulmonary embolus. Antiembolism stockings and sequential compression devices will increase venous return and prevent stasis of blood. Heparin may be used to treat DVT but not to prevent it. A vena cava filter is not indicated. Massaging may increase the risk for DVT.

Answer to Question 2

Correct Answer: 1

Long bone fractures and other major trauma are the primary risk factors for fat embolism syndrome. When the bone is fractured, pressure within the bone marrow rises and exceeds capillary pressure; as a result, fat globules leave the bone marrow and enter the bloodstream. The fat globules lodge in the pulmonary vascular bed or peripheral circulation. Manifestations usually develop within a few hours to a week after injury due to the occlusion of blood supply and the presence of fatty acids. The patient's symptoms do not indicate deep vein thrombosis, compartment syndrome, or DIC.