Which action should the nurse implement to help prevent thrombus formation in postsurgical patients?

Maintain complete bed rest

Place light wrapping on the legs and waist

Encourage early ambulation

Put pillows under the knees

Answer and Explanation

The Correct Answer is C

Choice A reason: Complete bed rest increases stasis, a risk factor for thrombus formation per Virchow’s triad. Immobility slows venous return, promoting clot development, making this choice counterproductive and incorrect for preventing postoperative thrombi.

Choice B reason: Light wrapping may provide comfort but does not effectively prevent thrombus formation. Compression stockings are preferred for venous return, and wrapping alone is insufficient, making this choice less effective than ambulation.

Choice C reason: Early ambulation promotes venous return, reducing stasis and preventing thrombus formation in postsurgical patients. It enhances circulation, countering Virchow’s triad, and is a standard intervention, making this the correct action to implement.

Choice D reason: Pillows under the knees cause venous pooling by flexing joints, increasing thrombus risk. This contradicts measures to enhance circulation, such as ambulation, making it an incorrect choice for thrombus prevention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Focusing on survival dismisses the client’s emotional distress, potentially invalidating their feelings. Addressing body image concerns empathetically fosters trust, making this an inappropriate and unsupportive response.

Choice B reason: Inviting the client to discuss feelings about the incision validates their emotions and promotes therapeutic communication. This open-ended approach supports coping with body image changes, making it the best response.

Choice C reason: Normalizing feelings is helpful, but stating the incision will heal soon minimizes the client’s distress. Exploring emotions is more therapeutic, as healing does not address body image, making this less effective.

Choice D reason: Discussing clothing to cover the incision is practical but avoids the emotional issue. Addressing feelings first supports psychological adjustment, making this a secondary intervention compared to open dialogue.

A. Potatoes B. Red meat C. Yogurt D. Apples

Correct Answer is B

Explanation

Choice A reason: Potatoes do not contain substances that cause false-positive occult blood tests. They are low in heme and do not mimic blood in stool, making them safe to consume before testing.

Choice B reason: Red meat contains heme, which can cause false-positive results in occult blood tests by mimicking blood. Avoiding red meat for 48–72 hours ensures test accuracy, making this the correct choice.

Choice C reason: Yogurt lacks heme or oxidizing agents that interfere with occult blood tests. It is a safe food choice before testing, as it does not affect results, making this incorrect.

Choice D reason: Apples do not typically cause false positives, though some fruits with peroxidase (e.g., turnips) might. Apples are generally safe, making this less critical to avoid than red meat.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which action should the nurse implement to help prevent thrombus formation in postsurgical patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a mastectomy. The client states, “I can’t stand to look at that incision. It makes me feel so ugly.” Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is teaching a client about foods to avoid before having an occult blood test of the stool. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for a low-sodium diet. Which of the following foods should the nurse recommend?

Order: Diazepam 4 mg via nasogastric tube three times daily. Available: Diazepam oral solution 5 mg per 5 mL. How many milliliters should the client receive per dosage?

A nurse is teaching a newly licensed nurse about the risk factors for dehiscence for surgical clients who have surgical incisions. Which of the following should the nurse include? (Select all that apply)

The nurse is assessing a patient with obstructive sleep apnea. Which assessment is the priority?

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)

The nurse is caring for a patient with swelling and redness following an ankle sprain. Which action by the nurse is most appropriate?

A nurse is providing discharge teaching to a client who has a new prescription for insulin. Which of the following instructions should the nurse include?

A nurse is preparing to administer an IV push medication to a client. Which of the following actions should the nurse take?