Author Question: A patient who is being treated for a deep vein thrombosis (DVT) complains of chest pain and ... (Read 39 times)

2125004343 · **on:** Jun 25, 2018

A patient who is being treated for a deep vein thrombosis (DVT) complains of chest pain and shortness of breath. What should the nurse do first?

1. Elevate the head of the bed and begin oxygen therapy.
2. Measure the patient's blood pressure.
3. Assess the extremity with the thrombosis.
4. Assess the pulses on the extremity with the thrombosis.

Question 2

A 75-year-old patient is diagnosed with chronic venous insufficiency. What should the nurse instruct this patient?

1. Keep legs in a dependent position as much as possible.
2. Avoid the use of knee-high hose or girdles.
3. Limit ambulation.
4. Dangle legs over the side of the bed several times per day.

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

Answer to Question 1

Correct Answer: 1
Immediately report patient complaints of chest pain and shortness of breath, anxiety, or a sense of impending doom. Prompt intervention to restore pulmonary blood flow can reduce the risk of significant adverse effects. Initiate oxygen therapy and elevate the head of the bed. The other interventions are not the priority and would delay the initiation of required interventions in this situation.

Answer to Question 2

Correct Answer: 2
Nursing care for the patient with chronic venous insufficiency includes elevating the legs while resting and during sleep; walking as much as possible, but avoiding sitting or standing for long periods of time; when sitting, do not cross legs or allow pressure on the back of the knees, such as sitting on the side of the bed; do not wear anything that pinches legs, such as knee-high hose, garters, or girdles; and wearing elastic hose as prescribed.