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 compression stockings do not dissolve existing blood clots. Their primary purpose is to prevent new blood clots from forming by aiding blood flow and preventing stasis in the veins.

B) This choice is incorrect because while compression stockings may help reduce swelling in the affected leg by supporting venous return, their primary function is to prevent DVT and not specifically address swelling.

C) This choice is incorrect because compression stockings primarily target venous circulation in the legs and do not directly improve blood circulation throughout the entire body.

D) This choice is correct. Compression stockings exert pressure on the legs, assisting in venous return and preventing blood from pooling and clot formation. They are used as a preventive measure for individuals at risk of DVT or those diagnosed with DVT to reduce the risk of complications and recurrence.

A. Encouraging active range of motion exercises. B. Administering low-dose aspirin daily. C. Applying a heating pad to the affected leg. D. Providing a soft mattress for the client's bed.

Correct Answer is A

Explanation

A) This choice is correct. Encouraging active range of motion exercises helps prevent deep vein thrombosis (DVT) by promoting blood flow and reducing stasis in the veins. Moving the legs and ankles regularly helps prevent clot formation in immobilized clients.

B) This choice is incorrect because low-dose aspirin is not specifically indicated for preventing DVT. While aspirin may have some antiplatelet effects, it is not the primary preventive measure for DVT in high-risk clients.

C) This choice is incorrect because applying a heating pad to the affected leg is not a preventive measure for DVT. Heat application is not recommended for DVT prevention and could cause burns or injury.

D) This choice is incorrect because providing a soft mattress for the client's bed does not directly prevent DVT. The focus should be on encouraging movement and mobility to prevent DVT in clients at risk.

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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 with deep vein thrombosis (DVT) is prescribed compression stockings. What is the nurse's best explanation for the purpose of using compression stockings?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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

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 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 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 client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?

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 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?