Which patient is at the greatest risk for developing deep vein thrombosis (DVT) due to immobility?
A 25-year-old patient with a history of hypertension.
A 40-year-old patient who just underwent a surgical procedure.
A 60-year-old patient who exercises regularly.
An 80-year-old patient with diabetes.
The Correct Answer is B
Patients who undergo surgery are at an increased risk for developing deep vein thrombosis (DVT) due to the immobility associated with the postoperative period.
Incorrect choices:
a. While hypertension is a risk factor for cardiovascular diseases, it does not increase the risk of DVT specifically.
c. Regular exercise is a protective factor against DVT, as it promotes circulation and venous return.
d. Diabetes is a risk factor for peripheral vascular disease, but it does not directly increase the risk of DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The semi-Fowler's position with the knees slightly flexed promotes lung expansion by allowing the diaphragm to descend fully and reducing the risk of respiratory complications in immobile patients.
Incorrect choices:
a. The supine position with the head of the bed elevated may cause the diaphragm to be restricted, limiting lung expansion and potentially leading to respiratory complications.
b. The prone position is not suitable for immobile patients and may increase the risk of pressure ulcers and respiratory difficulties.
c. The lateral position with the affected side down may compromise lung expansion and increase the risk of respiratory complications in immobile patients.
Correct Answer is A
Explanation
Performing frequent and thorough skin assessments is essential for identifying early signs of pressure ulcers and implementing appropriate preventive measures in patients with limited mobility.
Incorrect choices:
b. Applying petroleum jelly to vulnerable areas may create a barrier but does not address the underlying issue of pressure and does not substitute for regular skin assessments and preventive measures.
c. Placing the patient on an air mattress can provide pressure redistribution, but it should be used based on individualized assessment and healthcare provider recommendations. Skin assessments remain essential.
d. Encouraging the patient to sit for prolonged periods increases the risk of pressure ulcers. Adequate repositioning and regular mobilization should be prioritized to prevent skin breakdown.
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