A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?

Performing isometric exercises hourly.

Wearing graduated compression stockings.

Limiting fluid intake to reduce blood volume.

Avoiding elevation of the legs while resting.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because while isometric exercises can promote blood flow, the recommended preventive measure for DVT is wearing graduated compression stockings. Exercises alone may not be sufficient to prevent clot formation.

B) This choice is correct. Graduated compression stockings apply pressure to the lower extremities, improving blood flow and reducing the risk of stasis and clot formation. They are commonly used as a preventive measure for clients at risk of DVT, particularly after surgery or during prolonged immobility.

C) This choice is incorrect because limiting fluid intake is not a preventive measure for DVT and may not be safe or appropriate for all clients. Adequate hydration is essential to maintain blood volume and circulation.

D) This choice is incorrect because elevating the legs while resting is a recommended measure to improve blood flow and reduce edema, which can be beneficial. However, wearing graduated compression stockings is a more specific preventive measure for DVT.

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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.

Questions

A. "I should avoid sitting for long periods during long flights." B. "I will stop taking my prescribed anticoagulant medication." C. "I will wear compression stockings as directed by my healthcare provider." D. "I need to stay hydrated and drink plenty of water."

Correct Answer is B

Explanation

A) This choice is correct. Avoiding sitting for long periods during long flights is a recommended preventive measure for individuals at risk of DVT. Prolonged immobility can increase the risk of blood clot formation in the legs during travel.

B) This choice is incorrect. Stopping prescribed anticoagulant medication increases the risk of blood clot formation and should never be done without the guidance of a healthcare provider. Anticoagulants are often prescribed to prevent or treat DVT and reduce the risk of clot progression or recurrence.

C) This choice is correct. Wearing compression stockings, as directed by a healthcare provider, can help prevent DVT by improving blood flow in the legs and reducing the risk of clot formation.

D) This choice is correct. Staying hydrated and drinking plenty of water can help prevent DVT by maintaining adequate blood volume and circulation. Dehydration can increase the risk of blood clot formation.

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A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is B

Explanation

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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) asks the nurse about the causes of this condition. What is the nurse's best response?

A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?

A nurse is explaining the diagnostic tests for deep vein thrombosis (DVT) to a client. Which test is considered the gold standard for diagnosing DVT?

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?