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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.
B. Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.
C. Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.
D. Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.
Correct Answer is A
Explanation
Rationale:
A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.
B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.
C. The client has not voided since returning to recovery is not related to the cardiac catheterization.
D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.
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