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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Curative surgery is performed to remove or repair a disease process and is not primarily for diagnosis or staging.
B. Diagnostic surgery is done to obtain tissue for examination, often involving a biopsy, and is less extensive than exploratory surgery.
C. Exploratory surgery involves opening a body cavity to assess the extent of disease, often when the diagnosis is unclear or when the extent of disease needs to be determined.
D. Palliative surgery is intended to relieve symptoms but not cure the underlying disease.
Correct Answer is C
Explanation
A. Discussing rest times with the family is important but is not the priority in managing MODS.
B. Keeping the client and family informed is crucial, but the priority is to understand and respect the client's wishes regarding their care.
C. In a client with MODS, understanding and respecting the client’s wishes, particularly regarding end-of-life care, is the priority. This ensures that care aligns with the client’s values and goals.
D. Scheduling rest is essential for managing fatigue and conserving energy but does not take precedence over respecting the client's care preferences.
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