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.
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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Related Questions
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.
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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