The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

Older adult taking anticoagulant medication

Person who has been on bed rest for 4 days

Person with a 30-year, 1 pack per day smoking habit

Woman in her second month of pregnancy

Answer and Explanation

The Correct Answer is B

A. Older adult taking anticoagulant medication: Anticoagulants reduce the risk of thrombosis.

B. Person who has been on bed rest for 4 days: Prolonged immobility reduces muscle contraction, leading to decreased venous return and increased risk of venous stasis and DVT.

C. Person with a 30-year smoking habit: Smoking is a risk factor for arterial disease rather than venous disease.

D. Woman in her second month of pregnancy: Pregnancy increases venous pressure but is more significant in the third trimester.

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Correct Answer is B

Explanation

A. Normal finding: This is not a normal finding. Dullness in this area could indicate an enlarged liver (hepatomegaly), which requires further evaluation.

B. Enlarged liver: Dullness above the right costal margin, especially around 11 cm, is often associated with hepatomegaly. The nurse should refer the patient to a physician for further investigation.

C. Hepatomegaly: While the finding could suggest hepatomegaly, the diagnosis should be confirmed by a physician. The nurse should refer the patient for further evaluation.

D. Alcohol intake: While it is relevant to ask about alcohol intake in the context of liver health, the immediate action is to refer the patient for further examination by a physician.

A. Ask the patient if he or she has experienced any unusual cramping or tingling in the arm. B. Refer the individual for further evaluation. C. Check for the presence of claudication. D. Consider this finding as normal, and proceed with the peripheral vascular evaluation.

Correct Answer is D

Explanation

A. Asking about cramping or tingling is unnecessary without other signs of compromised circulation.

B. Referral is not needed if perfusion is adequate.

C. Checking for claudication relates to arterial insufficiency, not absence of ulnar pulse.

D. Proceeding with the evaluation is appropriate if perfusion is adequate, as indicated by normal capillary refill and warm skin.

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The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

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Naxlex Comprehensive Predictor Exams

A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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