NCLEX-PN
NCLEX Questions on Peripheral Vascular Disease Questions
Extract:
Question 1 of 5
The client admitted with a diagnosis of pneumonia complains of tenderness and pain in the left calf, and the nurse assesses a positive Homans’ sign. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Notify the health-care provider.
Initiate an intravenous line.
Monitor the client’s PTT.
Administer a continuous heparin infusion.
Instruct the client not to get out of the bed.
Correct Answer: A,E,B,D,C
Rationale: 1. Notify HCP (
A): Calf pain and positive Homans’ suggest DVT, requiring urgent evaluation. 2. Instruct bedrest (E): Prevents clot dislodgement. 3. Initiate IV (
B): Prepares for heparin. 4. Administer heparin (
D): Treats DVT post-order. 5. Monitor PTT (
C): Ensures therapeutic heparin levels.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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