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?

Mild leg swelling after prolonged standing.

Redness and warmth at the site of the affected leg.

Occasional cramping in the unaffected leg.

Mild fatigue and generalized body aches.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because mild leg swelling after prolonged standing may be expected, especially in clients with a history of DVT. It is not a critical symptom to report immediately.

B) This choice is correct. Redness and warmth at the site of the affected leg could indicate an inflammatory response or progression of the clot. These signs may be indicative of a potential complication, such as an infection or extension of the clot, and should be reported immediately for further evaluation and intervention.

C) This choice is incorrect because occasional cramping in the unaffected leg may not be directly related to the DVT. While any changes in leg symptoms should be reported to the healthcare provider, this symptom is less urgent than redness and warmth in the affected leg.

D) This choice is incorrect because mild fatigue and generalized body aches are non-specific symptoms and may not be directly related to DVT. While it is essential to report any new or concerning symptoms, redness and warmth in the affected leg are more indicative of potential complications related to DVT.

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Correct Answer is A

Explanation

A) This choice is correct. Gender is a non-modifiable risk factor for DVT, with women generally having a higher risk than men. Hormonal changes, such as those associated with pregnancy, oral contraceptives, and hormone replacement therapy, can contribute to the increased risk in women.

B) This choice is incorrect because obesity is a modifiable risk factor for DVT, not a non-modifiable one. Clients can work to achieve and maintain a healthy weight to reduce their risk.

C) This choice is incorrect because smoking history is a modifiable risk factor for DVT. Clients can quit smoking to decrease their risk of blood clot formation.

D) This choice is incorrect because a sedentary lifestyle is a modifiable risk factor for DVT. Clients can engage in regular physical activity to reduce their risk.

A. Arterial blood gas (ABG) analysis. B. D-dimer blood test. C. Electrocardiogram (ECG). D. Chest X-ray.

Correct Answer is B

Explanation

A) This choice is incorrect because arterial blood gas (ABG) analysis assesses oxygen and carbon dioxide levels in the blood, primarily used for respiratory and acid-base evaluations, not for confirming DVT.

B) This choice is correct. The D-dimer blood test is a screening test used to detect the presence of blood clot breakdown products in the blood. Elevated levels of D-dimer may suggest the presence of a blood clot, prompting further diagnostic testing for DVT.

C) This choice is incorrect because an electrocardiogram (ECG) primarily assesses the electrical activity of the heart and is not specific to confirming DVT. It may be useful to assess cardiac function in individuals with suspected pulmonary embolism.

D) This choice is incorrect because a chest X-ray is not used to confirm DVT. It is helpful in assessing the lungs and heart, particularly for detecting potential complications of DVT like a pulmonary embolism, but it does not directly diagnose DVT.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected deep vein thrombosis (DVT). Which diagnostic test should the nurse anticipate to confirm the presence of DVT?

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 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?

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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 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?

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 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 being discharged from the hospital. What should the nurse include in the client's discharge teaching to promote ongoing preventive measures?