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 B

Explanation

A) This choice is incorrect because while relieving leg pain and swelling is an important aspect of DVT treatment, the primary goal is to prevent the clot from dislodging and causing a pulmonary embolism or other complications.

B) This choice is correct. The primary goal of DVT treatment is to prevent the clot from dislodging and traveling to the lungs, where it can cause a potentially life-threatening pulmonary embolism. Anticoagulant therapy and other interventions are used to stabilize the clot and prevent its migration.

C) This choice is incorrect because eliminating the risk factors for DVT is not the primary goal of treatment for a client who already has DVT. Preventing clot progression and complications take precedence over addressing risk factors at this stage.

D) This choice is incorrect because while administering anticoagulant therapy is a common treatment for DVT, it is a specific intervention rather than the primary goal. Anticoagulants help prevent the clot from growing and reduce the risk of embolism.

A. Perform calf-stretching exercises in the aisle. B. Use a heating pad on the legs to promote circulation. C. Avoid wearing compression stockings during the flight. D. Take prescribed anticoagulant medication before boarding.

Correct Answer is A

Explanation

A) This choice is correct. Performing calf-stretching exercises in the aisle can help improve blood circulation in the legs during a long flight and reduce the risk of stasis and clot formation.

B) This choice is incorrect because using a heating pad on the legs during a flight may not be feasible or safe. It is not a recommended preventive measure for DVT.

C) This choice is incorrect because wearing compression stockings during the flight is a recommended preventive measure for DVT. Compression stockings help improve blood flow and reduce the risk of clot formation during prolonged immobility.

D) This choice is incorrect because taking prescribed anticoagulant medication before boarding a flight is not a recommended preventive measure for all clients. The decision to take anticoagulant medication before a flight should be based on the client's individual risk factors and medical history.

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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 nurse is caring for a client with deep vein thrombosis (DVT). What is the primary goal of treatment for this client?

Correct Answer is B

Explanation

A client with a history of deep vein thrombosis (DVT) is scheduled for a long-haul flight. What should the nurse recommend to the client as a preventive measure during the flight?

Correct Answer is A

Explanation

A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

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

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A client is scheduled for a venous Doppler ultrasound to assess for deep vein thrombosis (DVT). What instructions should the nurse provide to the client before the procedure?

A nurse is educating a client about the importance of compliance with anticoagulant therapy for deep vein thrombosis (DVT). The client asks, "Why is it essential to take these medications?" What is the nurse's best response?

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?

A client presents with swelling, redness, and warmth in one leg. The nurse suspects deep vein thrombosis (DVT). What initial assessment should the nurse perform to confirm the presence of DVT?

A nurse is reviewing the diagnostic workup for a client with suspected deep vein thrombosis (DVT). Which test should the nurse expect to be performed first to assess the client's risk for DVT?