A client is prescribed estrogen-based hormone replacement therapy. What risk factor for deep vein thrombosis (DVT) should the nurse identify in this client?

Advanced age

Male gender

Smoking history

Hormonal therapy

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because advanced age is a non-modifiable risk factor for DVT. While age is associated with increased risk, it is not directly related to the client's use of hormonal therapy.

B) This choice is incorrect because male gender is not a risk factor for DVT. Women, particularly those on estrogen-based therapies like hormone replacement therapy or oral contraceptives, are at higher risk.

C) This choice is incorrect because smoking history is a modifiable risk factor for DVT, not directly related to hormonal therapy. Smoking increases the risk of clot formation and is not specific to the client's use of hormonal therapy.

D) This choice is correct. Estrogen-based hormone replacement therapy and oral contraceptives can increase the risk of DVT due to their effect on blood coagulation. Estrogen can increase the production of certain clotting factors, raising the risk of blood clot formation in the veins. It is essential for healthcare providers to weigh the benefits and risks when prescribing hormonal therapy to clients.

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Correct Answer is D

Explanation

A. Measuring the client's blood pressure is an important assessment but is not the immediate priority when preparing to administer enoxaparin.
B. Assessing the client's platelet count is critical before administering enoxaparin, especially because low molecular weight heparins can lead to heparin-induced thrombocytopenia (HIT). Monitoring platelet levels helps to ensure the client's safety and prevent complications.
C. Ensuring the client has an indwelling urinary catheter is not necessary for the administration of enoxaparin and does not relate to its safety or efficacy.
D. Obtaining the client's weight is relevant for dosing but is secondary to assessing the platelet count, particularly in light of the risk of HIT.

A. "Avoid foods high in vitamin K, such as leafy greens." B. "Discontinue the medication if you experience bleeding." C. "Take the medication with grapefruit juice for better absorption." D. "Do not take over-the-counter pain medications while on warfarin."

Correct Answer is A

Explanation

A) This choice is correct. Warfarin is an anticoagulant that works by inhibiting the synthesis of vitamin K-dependent clotting factors. Clients on warfarin should be advised to avoid significant fluctuations in vitamin K intake, as found in foods like leafy greens and other green vegetables, to maintain consistent anticoagulation levels.

B) This choice is incorrect because discontinuing warfarin suddenly can increase the risk of blood clot formation and other complications. Clients should follow their healthcare provider's instructions for warfarin dosing and management.

C) This choice is incorrect because taking warfarin with grapefruit juice is not recommended and may not improve medication absorption. Grapefruit juice can interfere with the metabolism of some medications, but it is not a recommended method for enhancing warfarin absorption.

D) This choice is incorrect because clients on warfarin should be cautious about taking over-the-counter pain medications, especially nonsteroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of bleeding. Clients should consult their healthcare provider before taking any new medications while on warfarin.

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A client is prescribed estrogen-based hormone replacement therapy. What risk factor for deep vein thrombosis (DVT) should the nurse identify in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?

Correct Answer is D

Explanation

A client with a history of deep vein thrombosis (DVT) is prescribed warfarin (Coumadin) as an anticoagulant. What should the nurse include in the client's education about warfarin therapy?

Correct Answer is A

Explanation

A client with deep vein thrombosis (DVT) is prescribed anticoagulant therapy. What is the nurse's priority action in monitoring the client's response to the medication?

A nurse is providing education to a client with deep vein thrombosis (DVT) about potential complications. Which symptom should the nurse instruct the client to report immediately?

A client with deep vein thrombosis (DVT) is being discharged from the hospital. What should the nurse include in the client's discharge teaching to promote ongoing preventive measures?

A client with deep vein thrombosis (DVT) is prescribed compression stockings. What is the nurse's best explanation for the purpose of using compression stockings?

A client is prescribed estrogen-based hormone replacement therapy. What risk factor for deep vein thrombosis (DVT) should the nurse identify in this client?

A nurse is caring for a client with suspected deep vein thrombosis (DVT). Which diagnostic test is used to assess blood flow and detect clots in the deep veins of the legs non-invasively?

A client is at high risk for deep vein thrombosis (DVT) due to immobility. What should the nurse implement as a preventive measure for this client?

A client is prescribed warfarin for the treatment of deep vein thrombosis (DVT). What is the nurse's priority teaching point regarding warfarin therapy?