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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Constipation: This involves hardened stool in the colon, causing localized distention but no free fluid.
B. Splenomegaly: Enlargement of the spleen causes a palpable mass in the left upper quadrant but no free fluid.
C. Distended bladder: This causes suprapubic distension but does not produce a fluid wave.
D. Ascites: A positive fluid wave test indicates free fluid in the abdominal cavity, a hallmark sign of ascites. The test is performed by tapping one side of the abdomen and observing for a wave-like transmission of fluid to the opposite side.
Correct Answer is D
Explanation
A. Make note of this finding: Delaying action by merely reporting the finding later may compromise patient care.
B. Prepare to remove cerumen: Sudden hearing loss is unlikely to be caused by cerumen buildup without further assessment.
C. Irrigate with rubbing alcohol: This is inappropriate and could harm the ear.
D. Notify the health care provider: Sudden sensorineural hearing loss can be a medical emergency and should be promptly evaluated by the healthcare provider.
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