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?

"I should avoid sitting for long periods during long flights."

"I will stop taking my prescribed anticoagulant medication."

"I will wear compression stockings as directed by my healthcare provider."

"I need to stay hydrated and drink plenty of water."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is B

Explanation

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.

A. Monitoring the client's prothrombin time (PT) and international normalized ratio (INR). B. Assessing the client's liver function regularly. C. Administering heparin via a central venous catheter. D. Monitoring the client's activated partial thromboplastin time (aPTT).

Correct Answer is D

Explanation

A) This choice is incorrect because monitoring prothrombin time (PT) and international normalized ratio (INR) is more relevant to monitoring oral anticoagulant therapy (e.g., warfarin) and not intravenous heparin therapy.

B) This choice is incorrect because while liver function tests may be important for some medications, they are not the priority for clients on intravenous heparin therapy. Heparin is primarily eliminated by the kidneys.

C) This choice is incorrect because while administering heparin via a central venous catheter is possible, it is not the priority action for safe administration. Monitoring the client's response to heparin therapy is more important.

D) This choice is correct. Monitoring the client's activated partial thromboplastin time (aPTT) is the priority action when administering intravenous heparin. The aPTT reflects the client's response to heparin and helps adjust the dosage to achieve the desired therapeutic effect while minimizing the risk of bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

A nurse is providing education to a client with deep vein thrombosis (DVT) about potential complications. Which symptom should the nurse instruct the client to report immediately?

A client presents with swelling, redness, and warmth in one leg. The nurse suspects deep vein thrombosis (DVT). What initial assessment should the nurse perform to confirm the presence of DVT?

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 with deep vein thrombosis (DVT) is being discharged from the hospital. What should the nurse include in the client's discharge teaching to promote ongoing preventive measures?

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

A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which client statement indicates an understanding of modifiable risk factors?

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?

A nurse is reviewing the diagnostic workup for a client with suspected deep vein thrombosis (DVT). Which test should the nurse expect to be performed first to assess the client's risk for DVT?