The nurse caring for patients on a gynecological surgery unit would monitor which of the following women most closely for evidence of a deep vein thrombosis?
A)A 64-year-old patient taking Apriso (mesalamine)who has a history of ulcerative colitis.
B)A 47-year-old patient admitted for lumpectomy with a family history of breast cancer.
C)A 58-year-old patient taking Estrace (estradiol)with a 42-pack-per-year history of smoking.
D)A 61-year-old patient who had a bladder-sling procedure whose platelet count is 167,000 cells/mm³.

Question

Quizplus · Accepted Answer

See Adverse Reactions/Side effects for estradiol: CV risk for MI and thromboembolism;smoking increases risk of adverse CV reactions.Mesalamine is a GI anti-inflammatory agent used in the treatment of ulcerative colitis and does not increase risk of thromboembolism.The platelet count is normal and although all surgical patients have an increased risk for thromboembolism,the patient taking estradiol is at higher risk.

The Nurse Caring for Patients on a Gynecological Surgery Unit