Deep vein thrombosis (DVT) and venous thromboembolism (VTE) prevention methods include which of the following? Select all that apply.

Subcutaneous administration of Lovenox or heparin

Graduated compression stockings (e.g., thromboembolic deterrent [TED] hose)

Intermittent pneumatic compression devices (IPCs)

Strict bed rest

Early and aggressive mobilization

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Subcutaneous administration of anticoagulants like Lovenox (enoxaparin) or heparin is a common and effective method for preventing DVT and VTE. These medications help prevent clot formation by thinning the blood and reducing the risk of thrombus development.

Choice B reason: Graduated compression stockings, such as thromboembolic deterrent (TED) hose, are used to improve blood flow in the legs and prevent the formation of blood clots. They apply consistent pressure to the legs, helping to maintain venous return and reduce the risk of DVT.

Choice C reason: Intermittent pneumatic compression devices (IPCs) are also used to prevent DVT and VTE. These devices periodically inflate and deflate, applying pressure to the legs to stimulate blood flow and prevent blood stasis, which can lead to clot formation.

Choice D reason: Strict bed rest is not recommended for DVT and VTE prevention. Prolonged immobility can increase the risk of clot formation. Encouraging early mobilization and activity is crucial to reduce the risk of DVT.

Choice E reason: Early and aggressive mobilization is a key strategy in preventing DVT and VTE. Encouraging patients to move and engage in physical activity as soon as it is safe to do so helps promote blood circulation and prevent the development of blood clots.

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Correct Answer is A

Explanation

Choice A reason: Preventing DVT and VTE is a critical component of patient care in hospitals. These conditions can lead to serious complications such as pulmonary embolism, which can be life-threatening. Therefore, hospitals implement various measures, including the use of anticoagulants, compression devices, and early mobilization, to reduce the risk of DVT and VTE in hospitalized patients.

Choice B reason: The statement that DVT and VTE prevention is not a core measure for hospitalized patients is incorrect. Ensuring that patients are protected against these potential complications is a fundamental aspect of inpatient care to promote patient safety and improve outcomes.

A. Hemoglobin: 12.0 g/dL (normal range: 13.5-17.5 g/dL) B. Serum Creatinine: 1.3 mg/dL (normal range: 0.6-1.2 mg/dL) C. Blood Urea Nitrogen (BUN): 24 mg/dL (normal range: 7-20 mg/dL) D. INR: 3.5 (normal range: 0.8-1.1)

Correct Answer is D

Explanation

Choice A reason: A hemoglobin level of 12.0 g/dL is slightly below the normal range for men but is not the most critical concern preoperatively. It indicates mild anemia, which should be monitored but does not present an immediate high risk.

Choice B reason: A serum creatinine level of 1.3 mg/dL is slightly elevated and indicates mild renal impairment. While this should be considered, it is not as immediately concerning as a significantly abnormal coagulation value.

Choice C reason: A Blood Urea Nitrogen (BUN) level of 24 mg/dL is slightly above normal, indicating some renal function impairment or dehydration. However, it does not pose the most significant immediate risk compared to a high INR value.

Choice D reason: An INR of 3.5 is significantly elevated and indicates a high risk of bleeding. For a surgical patient, this is the most concerning pre-op lab value because it suggests that the patient's blood is not clotting properly. This increases the risk of excessive bleeding during and after surgery, making it a priority to address before proceeding with the operation.

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Deep vein thrombosis (DVT) and venous thromboembolism (VTE) prevention methods include which of the following? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Deep vein thrombosis (DVT) and venous thromboembolism (VTE) prevention is a core measure for hospitalized patients.

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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