South University West Palm Beach Deep Vein Thrombosis Questions

Question Description

– Answer the following questions based on the case study provided below. Answers do not have to be super long.

Patient Profile

D.R. is a 74-year-old obese Hispanic woman who is in the third postoperative day after an open reduction internal fixation (ORIF) for repair of a left femoral neck fracture after a fall at home.

Subjective Data

  • States pain in her left hip is a 4 to 5 on a 1-to-10 scale
  • States pain in her left calf area is a 3 on a 1-to-10 scale

Objective Data

Physical Examination

  • Vital signs: BP 140/68, pulse 64, temperature 98.7°F, respirations 20
  • Oxygen saturation 93% on room air
  • Lungs clear all lobes
  • Bowel sounds are present in all 4 quadrants
  • Apical pulse: 64, irregular
  • Alert and oriented to person, place, and time
  • Skin warm to touch bilateral lower extremities, slight erythema left lower extremity
  • No edema right lower extremity, 2+ left lower extremity
  • Pedal pulses 2+ right lower extremity, 1+ left lower extremity
  • Calf circumference: right, 8 cm; left, 10 cm
  • Left hip wound has staples; no signs or symptoms of infection
  • Last bowel movement was four days ago

Interprofessional Care

Medication Administration Record

  • Morphine sulfate 2 mg IVP every two hours as needed for pain scale 6 to 10
  • Lisinopril 20 mg PO daily
  • Bisacodyl 10 mg PO daily

Discussion Questions

  1. What do you suspect is occurring with D.R.? What data were used to make this determination?
  2. What are the priority nursing interventions at this time?
  3. Using SBAR, what would you report to the provider?
  4. What diagnostic studies would be used to determine the existence, location, and extent of a DVT?
  5. What risk factors for development of a DVT does D. R. have?
  6. What measures can be taken to prevent a DVT in an at-risk patient?
  7. What is the purpose of SCDs?
  8. What is enoxaparin and what is the indications and side effects?

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