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?

Auscultating the lungs for crackles.

Checking for a positive Homans' sign.

Measuring blood pressure in both arms.

Performing a capillary refill test.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because auscultating the lungs for crackles is not directly related to confirming the presence of deep vein thrombosis (DVT). Lung auscultation may be performed to assess for potential complications of DVT, such as pulmonary embolism.

B) This choice is correct. Homans' sign is a clinical test used to assess for the presence of DVT. The nurse flexes the client's knee and gently dorsiflexes the foot. A positive Homans' sign is indicated by calf pain or discomfort during dorsiflexion and may suggest the presence of a blood clot in the deep veins of the leg.

C) This choice is incorrect because measuring blood pressure in both arms is not a specific assessment for deep vein thrombosis (DVT). It may be done as part of a routine assessment but does not confirm the presence of DVT.

D) This choice is incorrect because performing a capillary refill test is not specific to DVT assessment. Capillary refill is a measure of peripheral perfusion and may be useful in assessing overall circulatory status, but it does not directly confirm the presence of DVT.

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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.

A. "Do you have a family history of high cholesterol?" B. "Have you ever been diagnosed with asthma?" C. "Have you recently traveled on a long flight?" D. "Do you take any medications for diabetes?"

Correct Answer is C

Explanation

A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.

B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.

C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.

D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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 nurse is assessing a client for deep vein thrombosis (DVT). Which assessment technique should the nurse prioritize to identify DVT-related clinical manifestations?

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A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which statement made by the client indicates a need for further teaching?

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 nurse is providing education to a client at risk of deep vein thrombosis (DVT). What is the most crucial instruction the nurse should include in the client's teaching plan?

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?

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