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 A
Explanation
Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.
B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.
C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.
D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.
Correct Answer is D
Explanation
A. A flat murmur does not accurately describe the type of murmur associated with mitral insufficiency.
B. Mitral insufficiency is typically classified as a systolic murmur, not diastolic.
C. An absent murmur would indicate no audible sound, which is not applicable here.
D. Mitral insufficiency or regurgitation is characterized by a systolic murmur due to the backflow of blood from the left ventricle into the left atrium during systole.
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