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

Palpating the pulses in the extremities.

Measuring calf and thigh circumference.

Auscultating the lungs for crackles.

Performing a capillary refill test.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because palpating the pulses in the extremities primarily assesses arterial blood flow, not venous thrombosis. While pulse assessment is essential, it is not the priority for identifying DVT-related manifestations.

B) This choice is correct. Measuring calf and thigh circumference can help identify possible DVT by comparing the affected leg's size to the unaffected one. DVT can cause localized swelling in the affected limb.

C) This choice is incorrect because auscultating the lungs for crackles is not a specific assessment for DVT. Crackles may be present in pulmonary edema, which can be a complication of DVT, but they do not directly assess the presence of a blood clot in the veins.

D) This choice is incorrect because performing a capillary refill test is primarily used to assess peripheral perfusion and is not specific to DVT assessment.

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Correct Answer is D

Explanation

A) This choice is incorrect because compression stockings do not dissolve existing blood clots. Their primary purpose is to prevent new blood clots from forming by aiding blood flow and preventing stasis in the veins.

B) This choice is incorrect because while compression stockings may help reduce swelling in the affected leg by supporting venous return, their primary function is to prevent DVT and not specifically address swelling.

C) This choice is incorrect because compression stockings primarily target venous circulation in the legs and do not directly improve blood circulation throughout the entire body.

D) This choice is correct. Compression stockings exert pressure on the legs, assisting in venous return and preventing blood from pooling and clot formation. They are used as a preventive measure for individuals at risk of DVT or those diagnosed with DVT to reduce the risk of complications and recurrence.

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 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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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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 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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