A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Immobility

Fracture

Atrial fibrillation

Anticoagulant therapy

Answer and Explanation

Correct Answer : A,B,E

A. Immobility is a significant risk factor for DVT because it can lead to blood stasis in the veins, increasing the risk of clot formation.

B. Fractures, particularly of the lower limbs, can lead to immobilization and contribute to the development of DVT.

C. Atrial fibrillation is associated with an increased risk of clot formation, but these clots typically form in the atria of the heart, not the deep veins. While these clots can embolize to other parts of the body, atrial fibrillation itself is not a direct cause of DVT.

D. Anticoagulant therapy is typically used to prevent DVT, not as a risk factor.

E. Estrogen therapy is associated with an increased risk of clot formation, making it a risk factor for DVT.

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Correct Answer is D

Explanation

A. Restlessness is a sign of hypoxia, indicating that oxygenation might still be inadequate.

B. A heart rate of 110/min suggests tachycardia, which can also be associated with ongoing hypoxia.

C. A respiratory rate of 28/min is elevated and may indicate continued respiratory distress or hypoxia.

D. Pink mucous membranes are a sign of adequate oxygenation and indicate that the supplemental oxygen is effective in resolving the hypoxia.

A. Assume position with legs and rectum lower than the stomach. B. Ambulate several times a day. C. Use a straw. D. Drink cold liquids.

Correct Answer is B

Explanation

A. Positioning with legs and rectum lower than the stomach is not recommended and may not relieve gas or discomfort.

B. Ambulation helps stimulate peristalsis and the passage of gas, which can relieve discomfort from abdominal distension and flatus.

C. Using a straw can increase air swallowing, which may worsen gas and abdominal discomfort.

D. Cold liquids may slow down digestion and peristalsis, potentially worsening abdominal distension.

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A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

Correct Answer is D

Explanation

A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

Correct Answer is B

Explanation

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