The nurse is planning care for a client recovering from orthopedic surgery. Interventions should be included to address which contributing factor to deep vein thrombosis development?
Smoking
Hypertension
Obesity
Immobility
The Correct Answer is D
A. Smoking: Although smoking is a risk factor for cardiovascular diseases and can contribute to thrombosis, it is not the most immediate factor in the context of post-surgical immobility.
B. Hypertension: While hypertension is a significant cardiovascular risk factor, it is less directly related to deep vein thrombosis compared to immobility.
C. Obesity: Obesity can increase the risk of DVT, but immobility, especially after surgery, is a more direct and immediate contributing factor.
D. Immobility: Immobility is a critical factor in the development of deep vein thrombosis, particularly in postoperative clients who may be bedridden or have limited mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aortic murmurs: These are best assessed with the client in an upright or slightly leaning forward position, not specifically the left lateral position.
B. Atrial repolarization: This is not directly assessed by body position; it is part of the ECG assessment.
C. The first heart sound: The first heart sound (S1) is heard throughout the auscultation process and is not specifically enhanced by a left lateral position.
D. Mitral stenosis: The left lateral position allows better auscultation of the mitral area, where mitral stenosis murmurs are best heard.
Correct Answer is D
Explanation
A. Smoking: Although smoking is a risk factor for cardiovascular diseases and can contribute to thrombosis, it is not the most immediate factor in the context of post-surgical immobility.
B. Hypertension: While hypertension is a significant cardiovascular risk factor, it is less directly related to deep vein thrombosis compared to immobility.
C. Obesity: Obesity can increase the risk of DVT, but immobility, especially after surgery, is a more direct and immediate contributing factor.
D. Immobility: Immobility is a critical factor in the development of deep vein thrombosis, particularly in postoperative clients who may be bedridden or have limited mobility.
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