A nurse is assessing a client with suspected deep vein thrombosis (DVT). Which diagnostic test should the nurse anticipate to confirm the presence of DVT?

Arterial blood gas (ABG) analysis.

D-dimer blood test.

Electrocardiogram (ECG).

Chest X-ray.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because arterial blood gas (ABG) analysis assesses oxygen and carbon dioxide levels in the blood, primarily used for respiratory and acid-base evaluations, not for confirming DVT.

B) This choice is correct. The D-dimer blood test is a screening test used to detect the presence of blood clot breakdown products in the blood. Elevated levels of D-dimer may suggest the presence of a blood clot, prompting further diagnostic testing for DVT.

C) This choice is incorrect because an electrocardiogram (ECG) primarily assesses the electrical activity of the heart and is not specific to confirming DVT. It may be useful to assess cardiac function in individuals with suspected pulmonary embolism.

D) This choice is incorrect because a chest X-ray is not used to confirm DVT. It is helpful in assessing the lungs and heart, particularly for detecting potential complications of DVT like a pulmonary embolism, but it does not directly diagnose DVT.

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Correct Answer is B

Explanation

A) This choice is incorrect because while relieving leg pain and swelling is an important aspect of DVT treatment, the primary goal is to prevent the clot from dislodging and causing a pulmonary embolism or other complications.

B) This choice is correct. The primary goal of DVT treatment is to prevent the clot from dislodging and traveling to the lungs, where it can cause a potentially life-threatening pulmonary embolism. Anticoagulant therapy and other interventions are used to stabilize the clot and prevent its migration.

C) This choice is incorrect because eliminating the risk factors for DVT is not the primary goal of treatment for a client who already has DVT. Preventing clot progression and complications take precedence over addressing risk factors at this stage.

D) This choice is incorrect because while administering anticoagulant therapy is a common treatment for DVT, it is a specific intervention rather than the primary goal. Anticoagulants help prevent the clot from growing and reduce the risk of embolism.

A. Advanced age B. Male gender C. Smoking history D. Hormonal therapy

Correct Answer is D

Explanation

A) This choice is incorrect because advanced age is a non-modifiable risk factor for DVT. While age is associated with increased risk, it is not directly related to the client's use of hormonal therapy.

B) This choice is incorrect because male gender is not a risk factor for DVT. Women, particularly those on estrogen-based therapies like hormone replacement therapy or oral contraceptives, are at higher risk.

C) This choice is incorrect because smoking history is a modifiable risk factor for DVT, not directly related to hormonal therapy. Smoking increases the risk of clot formation and is not specific to the client's use of hormonal therapy.

D) This choice is correct. Estrogen-based hormone replacement therapy and oral contraceptives can increase the risk of DVT due to their effect on blood coagulation. Estrogen can increase the production of certain clotting factors, raising the risk of blood clot formation in the veins. It is essential for healthcare providers to weigh the benefits and risks when prescribing hormonal therapy to clients.

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A nurse is assessing a client with suspected deep vein thrombosis (DVT). Which diagnostic test should the nurse anticipate to confirm the presence of DVT?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with deep vein thrombosis (DVT). What is the primary goal of treatment for this client?

Correct Answer is B

Explanation

A client is prescribed estrogen-based hormone replacement therapy. What risk factor for deep vein thrombosis (DVT) should the nurse identify in this client?

Correct Answer is D

Explanation

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?

A nurse is caring for a client receiving intravenous (IV) heparin therapy for deep vein thrombosis (DVT). What is the nurse's priority action to ensure safe administration of the medication?

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 is admitted to the emergency department with symptoms suggestive of deep vein thrombosis (DVT). Which non-modifiable risk factor should the nurse identify based on the client's health history?

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A client is scheduled for a venous Doppler ultrasound to assess for deep vein thrombosis (DVT). What instructions should the nurse provide to the client before the procedure?

A client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?