Thromboembolism & Hemorrhage Quiz

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Clinical scenarios on DVT/PE, anemia & bleeding.

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danielle

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Thromboembolism & Hemorrhage Quiz


Thromboembolism & Hemorrhage QuizVersión en línea Clinical scenarios on DVT/PE, anemia & bleeding. por danielle 1 What is the nurse's priority action for a postop patient with chest pain and SpO2 88%? a Apply oxygen and notify provider immediately b Obtain D-dimer level c Encourage deep breathing exercises d Administer prescribed opioid 2 Which findings increase VTE risk? (Select all that apply) a Iron deficiency anemia b Dehydration c Estrogen therapy d Atrial fibrillation 3 A restless, tachycardic patient with known DVT most concerns which complication? a Hemorrhage b Post-thrombotic syndrome c Chronic venous insufficiency d Pulmonary embolism 4 Which findings align with a pulmonary embolism? (Select all that apply) a Bradycardia b Hypotension c Hemoptysis d Pleuritic chest pain 5 Which test is most specific for evaluating blood flow in suspected DVT? a Venous Doppler ultrasound b CBC c CT scan d D-dimer 6 Why is routine placement of an IVC filter no longer recommended? a Ineffective clot prevention b Increased risk of infection c Reserved only for patients unable to receive anticoagulation d High bleeding risk 7 Which statements show correct understanding of warfarin therapy? (Select all that apply) a I monitor for bleeding. b Black tarry stools are expected. c I will suddenly increase green vegetables. d I take it at the same time every evening. 8 Which condition directly causes hypercoagulability? a Immobility b Atherosclerosis c Factor V Leiden d Dehydration 9 Which nursing intervention is most effective for preventing postoperative DVT? a Early ambulation b Elevating legs only c Bed rest d Fluid restriction 10 Which patients have the highest risk for developing blood clots? (Select all that apply) a Patient with atrial fibrillation b Patient taking copper IUD c Pregnant patient 2 weeks postpartum d Cancer patient receiving chemotherapy 11 Which finding best indicates Class III hemorrhage? a HR 130 bpm and SBP 88 mmHg b Bounding peripheral pulses c No change in vital signs d Urine output absent 12 Which findings suggest internal hemorrhage? (Select all that apply) a Cool, clammy skin b Hypotension c Hematemesis d Tachycardia e Increased hemoglobin 13 In hemorrhagic shock, which goal takes priority? a Prevent infection b Maintain hemoglobin c Control pain d Maintain MAP ≥ 65 mmHg 14 Which injuries place a patient at highest risk for life-threatening hemorrhage? (Select all that apply) a Pelvic fracture b Rib fracture c Ankle sprain d Subarachnoid hemorrhage 15 A patient with hypotension and suspected GI bleed arrives in ED. First nursing action? a Obtain stool sample b Prepare for endoscopy c Apply oxygen and establish large-bore IV access d Administer iron 16 Which labs are essential in evaluating hemorrhage? (Select all that apply) a CBC b TSH c Reticulocyte count d Ferritin 17 Why are older adults on anticoagulants at higher hemorrhage risk? a Decreased blood pressure b Decreased renal clearance c Increased hemoglobin d Increased mobility 18 What is the leading cause of iron deficiency anemia in adults over 50? a Menstruation b Poor nutrition c GI bleeding d Parasitic infection 19 Which increase risk for iron deficiency anemia? (Select all that apply) a Pregnancy b Gastric bypass surgery c Chronic kidney disease d Hypertension 20 Which lab pattern supports iron deficiency anemia? a Low ferritin, high TIBC b High ferritin, low TIBC c Increased reticulocytes d High hemoglobin 21 Which symptoms are consistent with iron deficiency anemia? (Select all that apply) a Shortness of breath b Hypertension c Fatigue d Chest pain 22 Best nursing intervention for dizziness with iron deficiency anemia? a Administer anticoagulant b Restrict fluids c Encourage exercise d Provide assistive device 23 Which instruction is correct for oral iron supplementation? a Take with antacids b Take on an empty stomach c Stop after 1 week d Expect red stools 24 Which are expected side effects of oral iron? (Select all that apply) a Nausea b Increased appetite c Bright red blood d Constipation e Dark blue stools 25 A patient with iron deficiency anemia and positive fecal occult blood: next step? a Oral contraceptives b Iron infusion c Colonoscopy and EGD d Blood transfusion 26 Which teaching points reduce DVT risk? (Select all that apply) a Smoking cessation b Remain sedentary c Use SCDs d Avoid crossing legs e Walk every hour during travel 27 A patient with PE becomes hypotensive. What complication is occurring? a Cardiogenic shock b Hypovolemic shock c Obstructive shock d Anemia 28 Which outcome best indicates effective anticoagulant therapy? a Decreased D-dimer b Absence of new clots c Elevated INR only d Increased platelet count 29 Which psychosocial issues may occur after thromboembolism? (Select all that apply) a Mania b Depression c Anxiety d Social isolation e PTSD 30 Pelvic fracture with hypotension and cool skin: single most important nursing priority? a Iron administration b Emotional support c Control bleeding and support circulation d Pain control Feedback 1 Hypoxia and suspected PE require immediate oxygen and medical notification. 2 Estrogen, bed rest, dehydration, and AFib promote clot risk; anemia alone does not. 3 Sudden tachycardia and restlessness suggest embolization to the lungs. 4 PE commonly causes tachycardia, pleuritic pain, dyspnea; bradycardia is unlikely. 5 Venous Doppler directly visualizes venous flow and clots. 6 IVC filters are for patients who cannot anticoagulate; not routine. 7 Independence of diet changes and GI bleeding signs are key; answer options reflect correct precautions. 8 Factor V Leiden is a hereditary hypercoagulable state. 9 Movement reduces venous stasis and clot risk. 10 Cancer, pregnancy/postpartum, AFib, sepsis elevate risk; IUD use does not. 11 Tachycardia with hypotension signals severe hemorrhage. 12 GI bleeding signs, cold/clammy skin, and hypotension indicate internal bleeding. 13 MAP support preserves perfusion to vital organs. 14 Pelvic fractures and some CNS injuries pose high bleeding risk; rib alone is less extreme. 15 Stabilize and provide access for resuscitation before procedures. 16 CBC, PT/INR, and PTT are key; ferritin/retic help other contexts. 17 Renal clearance changes affect anticoagulant dosing and risk. 18 GI bleeding is the most common cause in that age group. 19 Malabsorption and increased demand raise risk; not all listed items. 20 Low ferritin reflects depleted iron stores; TIBC rises. 21 Common symptoms include fatigue, pallor, dyspnea; chest pain less direct. 22 Orthostatic dizziness requires safety and support. 23 Empty stomach improves absorption; GI side effects possible. 24 Constipation, black stools, nausea, and abdominal discomfort are common. 25 Endoscopic evaluation localizes bleeding source. 26 Movement, compression devices, and avoiding risk behaviors reduce risk. 27 PE can cause obstructions to outflow leading to obstructive shock. 28 Prevention of new clots is the goal of anticoagulation. 29 Anxiety, PTSD, depression, and isolation can occur after thromboembolism. 30 Life-saving priorities focus on bleeding control and perfusion.

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Thromboembolism & Hemorrhage QuizVersión en línea

por danielle

What is the nurse's priority action for a postop patient with chest pain and SpO2 88%?

Which findings increase VTE risk? (Select all that apply)

A restless, tachycardic patient with known DVT most concerns which complication?

Which findings align with a pulmonary embolism? (Select all that apply)

Which test is most specific for evaluating blood flow in suspected DVT?

Why is routine placement of an IVC filter no longer recommended?

Which statements show correct understanding of warfarin therapy? (Select all that apply)

Which condition directly causes hypercoagulability?

Which nursing intervention is most effective for preventing postoperative DVT?

Which patients have the highest risk for developing blood clots? (Select all that apply)

Which finding best indicates Class III hemorrhage?

Which findings suggest internal hemorrhage? (Select all that apply)

In hemorrhagic shock, which goal takes priority?

Which injuries place a patient at highest risk for life-threatening hemorrhage? (Select all that apply)

A patient with hypotension and suspected GI bleed arrives in ED. First nursing action?

Which labs are essential in evaluating hemorrhage? (Select all that apply)

Why are older adults on anticoagulants at higher hemorrhage risk?

What is the leading cause of iron deficiency anemia in adults over 50?

Which increase risk for iron deficiency anemia? (Select all that apply)

Which lab pattern supports iron deficiency anemia?

Which symptoms are consistent with iron deficiency anemia? (Select all that apply)

Best nursing intervention for dizziness with iron deficiency anemia?

Which instruction is correct for oral iron supplementation?

Which are expected side effects of oral iron? (Select all that apply)

A patient with iron deficiency anemia and positive fecal occult blood: next step?

Which teaching points reduce DVT risk? (Select all that apply)

A patient with PE becomes hypotensive. What complication is occurring?

Which outcome best indicates effective anticoagulant therapy?

Which psychosocial issues may occur after thromboembolism? (Select all that apply)

Pelvic fracture with hypotension and cool skin: single most important nursing priority?