A patient is demonstrating signs of thrombophlebitis. With this ...

[Ebrown]

A patient is demonstrating signs of thrombophlebitis. With this disorder, the nurse realizes that three mechanisms occur, which include:
 
  Select all that apply.
  1. pooling of blood in the vessel.
  2. blood hypercoagulation.
  3. stasis of blood flow.
  4. elevated systemic blood pressure.
  5. vessel damage.

Question 2

A patient is diagnosed with thromboangiitis obliterans. What would be appropriate teaching for this patient?
 
  1. Medications are the only cure.
  2. Surgical procedures can be performed to cure this disorder.
  3. Management depends upon the patient's willingness to stop smoking.
  4. Nothing can help manage this disorder.

[stanleka1]

Answer to Question 1

Correct Answer: 2, 3, 5
Three pathologic factors, called Virchow's triad, are associated with thrombophlebitis: stasis of blood, vessel damage, and increased blood coagulability. Blood does not pool in the vessel; it is restricted. Systemic blood pressure elevation is not a mechanism of this problem.

Answer to Question 2

Correct Answer: 3
The prognosis for thromboangiitis obliterans depends significantly on the patient's ability and willingness to stop smoking. With smoking cessation and good foot care, the prognosis for saving the extremities is good, even though no cure is available.

[Ebrown]

Excellent

[kjohnson]

TYSM