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?
"Anticoagulants help dissolve existing blood clots in the veins."
"These medications prevent the formation of new blood clots in your veins."
"They reduce pain and inflammation associated with DVT."
"Anticoagulants improve blood flow to the affected limb."
The Correct Answer is B
A) This choice is incorrect because anticoagulants do not dissolve existing blood clots in the veins. They prevent further clot formation and allow the body's natural mechanisms to dissolve the clot over time.
B) This choice is correct. Anticoagulants work by inhibiting the clotting factors in the blood, which prevents the formation of new blood clots and reduces the risk of the existing clot enlarging or causing additional complications.
C) This choice is incorrect because while anticoagulants may indirectly reduce pain and inflammation by preventing further clot formation, their primary action is to prevent clotting, not directly reduce pain and inflammation associated with DVT.
D) This choice is incorrect because while anticoagulants can improve blood flow by preventing clot formation, they do not directly "improve" blood flow to the affected limb.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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.
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