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 A
Explanation
Providing a clutter-free environment with clear pathways reduces the risk of falls and promotes a safe ambulatory environment for patients with impaired mobility.
Incorrect choices:
b. Bed rails are not recommended as a fall prevention measure due to the potential for entrapment and other associated risks. They should only be used when necessary and based on an individualized assessment.
c. Administering sedatives can increase the risk of falls by causing drowsiness and impaired cognition. It is not a suitable fall prevention intervention.
d. Leaving the patient unattended during ambulation increases the risk of falls. Patients with impaired mobility should not be left unattended.
Correct Answer is A
Explanation
Offering fluids at room temperature can enhance the patient's comfort and promote adequate hydration in immobile patients.
Incorrect choices:
b. Limiting fluid intake to prevent incontinence is not appropriate as it can lead to dehydration. Adequate hydration should be maintained, and measures to manage incontinence should be implemented separately.
c. Providing a straw for easier drinking can facilitate fluid intake, but it may not be suitable for all patients or situations. Individualized assessment and patient preference should be considered.
d. Continuous intravenous fluids may not be necessary for all immobile patients and should be based on specific indications determined by the healthcare provider. Oral intake should be encouraged unless contraindicated.
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