A nurse is providing education to a client at risk of deep vein thrombosis (DVT). What is the most crucial instruction the nurse should include in the client's teaching plan?

"Avoid sitting or standing in one position for extended periods."

"Massage the legs regularly to improve blood circulation."

"Increase your intake of leafy greens and foods rich in vitamin K."

"Take over-the-counter pain medications for leg discomfort."

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Prolonged sitting or standing in one position can lead to reduced blood flow and stasis, increasing the risk of DVT. Encouraging regular movement and changing positions can help prevent clot formation.

B) This choice is incorrect because massaging the legs may not be suitable for everyone and is not a primary preventive measure for DVT. While it can aid in improving blood circulation, it should be done cautiously and not as a standalone preventive action.

C) This choice is incorrect because increasing the intake of vitamin K-rich foods is not a preventive measure for DVT. Vitamin K is involved in the clotting process, but it does not directly impact the risk of DVT.

D) This choice is incorrect because taking over-the-counter pain medications for leg discomfort does not prevent DVT. While pain management may be necessary for symptomatic relief, it does not address the underlying risk factors for DVT.

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Correct Answer is A

Explanation

A) This choice is correct. Warfarin works by inhibiting the synthesis of vitamin K-dependent clotting factors in the liver. Consistent vitamin K intake can impact the effectiveness of warfarin, so it is important for clients to maintain a stable vitamin K intake and avoid sudden changes in their diet.

B) This choice is incorrect because warfarin does not directly dissolve the blood clot in the leg. It prevents the formation of new clots and allows the body's natural mechanisms to dissolve the existing clot over time.

C) This choice is incorrect because while taking warfarin at the same time each day can help with adherence, the priority teaching point is about vitamin K intake and not the exact timing of the medication.

D) This choice is incorrect because discontinuing warfarin without medical guidance can be dangerous. Warfarin is typically prescribed for a specific duration, and its cessation should be guided by the healthcare provider based on the client's individual condition and risk factors.

A. "Do you have a family history of high cholesterol?" B. "Have you ever been diagnosed with asthma?" C. "Have you recently traveled on a long flight?" D. "Do you take any medications for diabetes?"

Correct Answer is C

Explanation

A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.

B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.

C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.

D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.

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A nurse is providing education to a client at risk of deep vein thrombosis (DVT). What is the most crucial instruction the nurse should include in the client's teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed warfarin for the treatment of deep vein thrombosis (DVT). What is the nurse's priority teaching point regarding warfarin therapy?

Correct Answer is A

Explanation

A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

Correct Answer is C

Explanation

A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?

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?

A client with a history of deep vein thrombosis (DVT) is prescribed warfarin (Coumadin) as an anticoagulant. What should the nurse include in the client's education about warfarin therapy?

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 with a history of deep vein thrombosis (DVT) is scheduled for a long-haul flight. What should the nurse recommend to the client as a preventive measure during the flight?

A nurse is caring for a client with suspected deep vein thrombosis (DVT). Which diagnostic test is used to assess blood flow and detect clots in the deep veins of the legs non-invasively?

A client with a history of deep vein thrombosis (DVT) asks the nurse about the causes of this condition. What is the nurse's best response?

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