A nurse is assessing a client for possible deep vein thrombosis (DVT). Which clinical manifestation is most indicative of DVT?

Chest pain and shortness of breath.

Warmth and redness over the affected area.

Pedal edema and bilateral leg pain.

Weak pedal pulses and cool extremities.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because chest pain and shortness of breath are more indicative of a potential pulmonary embolism, a serious complication of DVT. While DVT can lead to a pulmonary embolism, the primary manifestation of DVT is related to the affected limb.

B) This choice is correct. Warmth and redness over the affected area, typically the calf or thigh, are common clinical manifestations of DVT. The warmth is due to the inflammatory response caused by the blood clot formation.

C) This choice is incorrect because pedal edema and bilateral leg pain are non-specific findings and can be caused by various conditions, not just DVT. They are not specific enough to diagnose DVT on their own.

D) This choice is incorrect because weak pedal pulses and cool extremities are not typically associated with DVT. These findings suggest potential arterial insufficiency rather than venous thrombosis.

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Correct Answer is A

Explanation

A) This choice is correct. Encouraging active range of motion exercises helps prevent deep vein thrombosis (DVT) by promoting blood flow and reducing stasis in the veins. Moving the legs and ankles regularly helps prevent clot formation in immobilized clients.

B) This choice is incorrect because low-dose aspirin is not specifically indicated for preventing DVT. While aspirin may have some antiplatelet effects, it is not the primary preventive measure for DVT in high-risk clients.

C) This choice is incorrect because applying a heating pad to the affected leg is not a preventive measure for DVT. Heat application is not recommended for DVT prevention and could cause burns or injury.

D) This choice is incorrect because providing a soft mattress for the client's bed does not directly prevent DVT. The focus should be on encouraging movement and mobility to prevent DVT in clients at risk.

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 nurse is assessing a client for possible deep vein thrombosis (DVT). Which clinical manifestation is most indicative of DVT?

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Naxlex Comprehensive Predictor Exams

A client is at high risk for deep vein thrombosis (DVT) due to immobility. What should the nurse implement as a preventive measure for this client?

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

A nurse is educating a client about the importance of compliance with anticoagulant therapy for deep vein thrombosis (DVT). The client asks, "Why is it essential to take these medications?" What is the nurse's best response?

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A client with deep vein thrombosis (DVT) is at risk of developing a pulmonary embolism. What assessment finding should the nurse prioritize to detect potential complications?

A client is admitted to the hospital with symptoms suggestive of deep vein thrombosis (DVT). Which test can provide rapid results to rule out DVT and guide further diagnostic workup?