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 D

Explanation

A) This choice is incorrect because advanced age is a non-modifiable risk factor for DVT. While age is associated with increased risk, it is not directly related to the client's use of hormonal therapy.

B) This choice is incorrect because male gender is not a risk factor for DVT. Women, particularly those on estrogen-based therapies like hormone replacement therapy or oral contraceptives, are at higher risk.

C) This choice is incorrect because smoking history is a modifiable risk factor for DVT, not directly related to hormonal therapy. Smoking increases the risk of clot formation and is not specific to the client's use of hormonal therapy.

D) This choice is correct. Estrogen-based hormone replacement therapy and oral contraceptives can increase the risk of DVT due to their effect on blood coagulation. Estrogen can increase the production of certain clotting factors, raising the risk of blood clot formation in the veins. It is essential for healthcare providers to weigh the benefits and risks when prescribing hormonal therapy to clients.

Questions

A. "I should avoid sitting for long periods during long flights." B. "I will stop taking my prescribed anticoagulant medication." C. "I will wear compression stockings as directed by my healthcare provider." D. "I need to stay hydrated and drink plenty of water."

Correct Answer is B

Explanation

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

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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

A client with deep vein thrombosis (DVT) is prescribed anticoagulant therapy. What is the nurse's priority action in monitoring the client's response to the medication?

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?

A client is admitted to the emergency department with symptoms suggestive of deep vein thrombosis (DVT). Which non-modifiable risk factor should the nurse identify based on the client's health history?

A client is at high risk for deep vein thrombosis (DVT) due to immobility. What should the nurse implement as a preventive measure for this client?

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?

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 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?