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 B

Explanation

A) This choice is incorrect because palpating the pulses in the extremities primarily assesses arterial blood flow, not venous thrombosis. While pulse assessment is essential, it is not the priority for identifying DVT-related manifestations.

B) This choice is correct. Measuring calf and thigh circumference can help identify possible DVT by comparing the affected leg's size to the unaffected one. DVT can cause localized swelling in the affected limb.

C) This choice is incorrect because auscultating the lungs for crackles is not a specific assessment for DVT. Crackles may be present in pulmonary edema, which can be a complication of DVT, but they do not directly assess the presence of a blood clot in the veins.

D) This choice is incorrect because performing a capillary refill test is primarily used to assess peripheral perfusion and is not specific to DVT assessment.

A. "You should avoid eating or drinking anything for 12 hours before the test." B. "Do not take any prescribed medications on the morning of the procedure." C. "Wear loose-fitting clothing that can be easily removed." D. "Expect to receive contrast dye intravenously during the test."

Correct Answer is C

Explanation

A) This choice is incorrect because fasting is not necessary before a venous Doppler ultrasound. The client can eat and drink normally before the test.

B) This choice is incorrect because the client should continue to take prescribed medications as usual unless otherwise instructed by the healthcare provider. Medications that thin the blood, such as anticoagulants, may not be stopped before the test.

C) This choice is correct. The client should wear loose-fitting clothing that can be easily removed to allow access to the affected area during the ultrasound. This facilitates the ultrasound technician's ability to perform the test accurately.

D) This choice is incorrect because contrast dye is not typically used in a venous Doppler ultrasound. Contrast venography may involve the use of contrast dye, but not Doppler ultrasound.

Questions

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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 nurse is assessing a client for deep vein thrombosis (DVT). Which assessment technique should the nurse prioritize to identify DVT-related clinical manifestations?

Correct Answer is B

Explanation

A client is scheduled for a venous Doppler ultrasound to assess for deep vein thrombosis (DVT). What instructions should the nurse provide to the client before the procedure?

Correct Answer is C

Explanation

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 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 deep vein thrombosis (DVT) is at risk of developing a pulmonary embolism. What assessment finding should the nurse prioritize to detect potential complications?

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 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 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 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?

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?