Do you understand that the testing window for the Final Exam opens at 10:00 am on Wednesday, July 29, and that the testing window closes at 1:00 pm on Wednesday, July 29?

The nurse is caring for a 82 year old female in the outpatient clinic with left leg swelling following an colon resection a week ago.  Nurses Notes: 0930: Client reports that she has not been able to get up and move around at home since her surgery. A few days ago, she developed severe calf pain in her left leg with swelling that is not relieved by ice or elevation.  0945: Left leg >3mg when compared to the right and warmth noted at site.  1000: Client has intermittent episode of shortness of breath at rest. Oxygen Saturation currently 97% on room air. Chest is symmetrical. Breath sounds clear bilaterally. Denies Chest pain.  Vital Signs:  Time: 0900 Temperature 98.2F Pulse 95 Respiratory Rate 18 Blood Pressure 120/78 Lab Report: Lab Results Platelet Count 145,000/mm3 Hemoglobin 15g/dL Hematocrit 42% Partial Thromboplastin Time (PTT) 36 Prothrombin Time (PT) 12.8 International Normalized Ratio (INR) 1.3 D-Dimer 2 For each potential finding, indicate if the finding is a risk factor or not a risk factor for deep vein thrombosis. 

The nurse is caring for a 82 year old female in the outpatient clinic with left leg swelling following an colon resection a week ago.  Nurses Notes: 0930: Client reports that she has not been able to get up and move around at home since her surgery. A few days ago, she developed severe calf pain in her left leg with swelling that is not relieved by ice or elevation.  0945: Left leg >3mg when compared to the right and warmth noted at site.  1000: Client has intermittent episode of shortness of breath at rest. Oxygen Saturation currently 97% on room air. Chest is symmetrical. Breath sounds clear bilaterally. Denies Chest pain.  1030: Client sent to Radiology 1130: Client transferred to inpatient medical unit Vital Signs:  Time: 0900 Time: 1000 Temperature 98.2F 98.5F Pulse 95 98 Respiratory Rate 18 20 Blood Pressure 120/78 125/82 Lab Report: Lab Results Platelet Count 145,000/mm3 Hemoglobin 15g/dL Hematocrit 42% Partial Thromboplastin Time (PTT) 36 Prothrombin Time (PT) 12.8 International Normalized Ratio (INR) 1.3 D-Dimer 2 Diagnostic Report: Venous Duplex Ultrasonography positive for left calf DVT Medications: Heparin Bolus 5,000 units IV stat, followed by continuous infusion 18units/kg/hr heparin drip Protamine Sulfate 1mg IV as needed for bleeding Warfarin 2.5mg PO daily Progress Note: Day 5 1500: Heparin was discontinued. Since the client has now been on warfarin daily for 3 days, the client will be discharged home on warfarin 2.5mg by mouth daily. Lung sounds clear bilaterally, denies chest pain or shortness or breath. Swelling to lower extremity is decreased and client denies calf pain. Vital signs are stable. Client remains alert and oriented.  The nurse provides more client education about the home management plan. For each statement, indicate whether the statement indicates an understanding, or no understanding of the anticoagulant teaching provided. 

Use the following scenario to answer the next 6 questions. The scenario is repeated on each page so you can refer back to it if needed. Some information may be added to each page so make sure to look at the scenario each time.  The nurse is caring for a 82 year old female in the outpatient clinic with left leg swelling following an colon resection a week ago.  Nurses Notes: 0930: Client reports that she has not been able to get up and move around at home since her surgery. A few days ago, she developed severe calf pain in her left leg with swelling that is not relieved by ice or elevation.  0945: Left leg >3mg when compared to the right, and warmth noted at the site.  1000: Client has intermittent episodes of shortness of breath at rest. Oxygen Saturation currently 97% on room air. Chest is symmetrical. Breath sounds clear bilaterally. Denies Chest pain.  Vital Signs:  Time: 0900 Temperature 98.2F Pulse 95 Respiratory Rate 18 Blood Pressure 120/78 Lab Report: Lab Results Platelet Count 145,000/mm3 Hemoglobin 15g/dL Hematocrit 42% Partial Thromboplastin Time (PTT) 36 Prothrombin Time (PT) 12.8 International Normalized Ratio (INR) 1.3 D-Dimer 2 Which 2 findings require immediate follow-up? 

A nurse observes the client receiving fat emulsions is having hives. A nurse reviews the client’s history and note in which of the following may cause about by the complaint of the client?

A nurse is planning care for a patient having thoracic surgery. Which nursing intervention is most appropriate for patients undergoing this type of surgery?

A postoperative client with an open abdominal wound is currently taking dexamethasone. The physician orders a culture of the abdominal wound even though no signs or symptoms of infection are seen. What action by the nurse is appropriate?

A nurse plans to administer a bolus feeding for a patient who is unable to aspirate gastric contents due to a clogged tube. What action will the nurse take next?

The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a patient who is scheduled for surgery in a few days. The results are white blood cell (WBC) count 10,000, hemoglobin 15 g/dL; hematocrit 45%; platelets 150,000. Which action should the nurse take?

After administering an enteral feeding, a nurse evaluates the patient’s tolerance of the feeding. Which findings suggesting intolerance requires collaboration with the dietician and healthcare provider? Select all that apply.