A client is admitted to the hospital with symptoms suggestive of deep vein thrombosis (DVT). Which test can provide rapid results to rule out DVT and guide further diagnostic workup?
D-dimer blood test.
Contrast venography.
Magnetic resonance imaging (MRI).
Wells score assessment.
The Correct Answer is A
A) This choice is correct. The D-dimer blood test is a rapid and sensitive screening test that can help rule out DVT in low-risk individuals. A negative D-dimer result can be useful in excluding DVT, avoiding unnecessary imaging or invasive tests.
B) This choice is incorrect because contrast venography is not a rapid test and involves invasive procedures. It is not used as a first-line screening test due to its complexity and potential risks.
C) This choice is incorrect because magnetic resonance imaging (MRI) may provide valuable information, but it is not the first choice for rapid rule-out of DVT. MRI may be employed in specific cases when initial screening tests are inconclusive.
D) This choice is incorrect because the Wells score assessment is not a diagnostic test but a scoring system to estimate the likelihood of DVT. It does not provide rapid results to rule out DVT directly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because palpating the pulses in the extremities primarily assesses arterial blood flow, not venous thrombosis. While pulse assessment is essential, it is not the priority for identifying DVT-related manifestations.
B) This choice is correct. Measuring calf and thigh circumference can help identify possible DVT by comparing the affected leg's size to the unaffected one. DVT can cause localized swelling in the affected limb.
C) This choice is incorrect because auscultating the lungs for crackles is not a specific assessment for DVT. Crackles may be present in pulmonary edema, which can be a complication of DVT, but they do not directly assess the presence of a blood clot in the veins.
D) This choice is incorrect because performing a capillary refill test is primarily used to assess peripheral perfusion and is not specific to DVT assessment.
Correct Answer is D
Explanation
A) This choice is incorrect because the D-dimer blood test is a screening test for DVT but does not directly assess blood flow or detect clots non-invasively.
B) This choice is incorrect because magnetic resonance imaging (MRI) is a sensitive imaging modality, but it may not be readily available or suitable for all clients. It is not the primary choice for non-invasive assessment of blood flow and clots in suspected DVT.
C) This choice is incorrect because contrast venography is an invasive procedure involving the injection of contrast dye and X-ray imaging. It is not non-invasive, and venous Doppler ultrasound is a preferred first-line test.
D) This choice is correct. Venous Doppler ultrasound is a non-invasive imaging test used to assess blood flow in the veins and detect clots in the deep veins of the legs. It is readily available, safe, and does not involve the use of contrast dye or radiation.
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