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A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

BMI of 20

High calcium intake

Oral contraceptive use

Immobility

Hypertension

Answer and Explanation

Correct Answer : C,D

Rationale:

A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.

B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.

C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.

D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.

E. Hypertension is not typically considered a risk factor for deep vein thrombosis.

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Correct Answer is A

Explanation

Rationale:

A. Elevated Troponins indicate myocardial injury or infarction.

B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.

C. Elevated Hemoglobin is not specific to cardiac injury.

D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.

A. Suggest that the client use a salt substitute. B. Advise the client to add citrus juices and bananas to her diet. C. Obtain a 12-lead ECG D. Obtain a blood sample for a serum sodium level

Correct Answer is C

Explanation

Rationale:

A. Salt substitutes often contain potassium and should be avoided in clients with hyperkalemia.

B. Citrus juices and bananas are high in potassium and should be avoided in clients with hyperkalemia.

C. A 12-lead ECG may include changes such as peaked T wave, flattened P wave, prolonged PR interval, ST depression, and prolonged QRS duration.

D. A serum sodium level should be obtained but it is not the priority in this case.

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A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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