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 D

Explanation

A) This choice is incorrect because regular physical activity is an essential preventive measure for DVT. Encouraging the client to engage in physical activity is vital for maintaining good circulation and reducing the risk of clot formation.

B) This choice is incorrect because a diet high in saturated fats and cholesterol is not a recommended preventive measure for DVT. A healthy, balanced diet is important for overall health, but it does not specifically prevent DVT.

C) This choice is incorrect because elevating the legs above heart level while resting is beneficial for reducing edema and improving blood flow but is not the primary preventive measure for DVT.

D) This choice is correct. The client should continue taking prescribed anticoagulant medication as directed by their healthcare provider. Anticoagulant therapy is often prescribed for a specific duration to prevent clot formation and reduce the risk of complications in clients with DVT.

A. D-dimer blood test. B. Magnetic resonance imaging (MRI). C. Complete blood count (CBC). D. Wells score assessment.

Correct Answer is D

Explanation

A) This choice is incorrect because while the D-dimer blood test is used to rule out DVT in low-risk individuals, the Wells score assessment is typically performed first to assess the client's pretest probability of DVT.

B) This choice is incorrect because magnetic resonance imaging (MRI) is not typically used as an initial diagnostic test for DVT. It may be employed in specific cases but is not the first-line test.

C) This choice is incorrect because a complete blood count (CBC) is a general blood test that does not directly assess the risk of DVT. It may provide information about overall health but is not specific to DVT assessment.

D) This choice is correct. The Wells score assessment is a validated tool used to estimate the likelihood of DVT based on clinical criteria and risk factors. It is commonly used as the first step in the diagnostic workup to determine if further testing, such as venous Doppler ultrasound or D-dimer blood test, is necessary.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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