A client is admitted to the emergency department with symptoms suggestive of deep vein thrombosis (DVT). Which non-modifiable risk factor should the nurse identify based on the client's health history?
Gender
Obesity
Smoking history
Sedentary lifestyle
The Correct Answer is A
A) This choice is correct. Gender is a non-modifiable risk factor for DVT, with women generally having a higher risk than men. Hormonal changes, such as those associated with pregnancy, oral contraceptives, and hormone replacement therapy, can contribute to the increased risk in women.
B) This choice is incorrect because obesity is a modifiable risk factor for DVT, not a non-modifiable one. Clients can work to achieve and maintain a healthy weight to reduce their risk.
C) This choice is incorrect because smoking history is a modifiable risk factor for DVT. Clients can quit smoking to decrease their risk of blood clot formation.
D) This choice is incorrect because a sedentary lifestyle is a modifiable risk factor for DVT. Clients can engage in regular physical activity to reduce their risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because compression stockings do not dissolve existing blood clots. Their primary purpose is to prevent new blood clots from forming by aiding blood flow and preventing stasis in the veins.
B) This choice is incorrect because while compression stockings may help reduce swelling in the affected leg by supporting venous return, their primary function is to prevent DVT and not specifically address swelling.
C) This choice is incorrect because compression stockings primarily target venous circulation in the legs and do not directly improve blood circulation throughout the entire body.
D) This choice is correct. Compression stockings exert pressure on the legs, assisting in venous return and preventing blood from pooling and clot formation. They are used as a preventive measure for individuals at risk of DVT or those diagnosed with DVT to reduce the risk of complications and recurrence.
Correct Answer is B
Explanation
A. Measuring blood pressure is part of routine assessment and may help identify signs of bleeding. However, it does not directly address the most significant hematologic risk associated with enoxaparin therapy.
B. Assessing the client’s platelet count is essential prior to administration because low molecular weight heparins can cause thrombocytopenia, including heparin-induced thrombocytopenia. Reviewing platelet levels helps prevent serious complications such as bleeding or paradoxical clot formation.
C. Ensuring the presence of an indwelling urinary catheter is unrelated to the safe administration of enoxaparin and may actually increase infection risk. Catheter placement is not required for this medication.
D. Obtaining the client’s weight is important because dosing of enoxaparin is weight-based. However, screening for thrombocytopenia takes priority due to the potential for life-threatening complications.
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