A client is admitted to the emergency department with symptoms suggestive of deep vein thrombosis (DVT). Which non-modifiable risk factor should the nurse identify based on the client's health history?
Gender
Obesity
Smoking history
Sedentary lifestyle
The Correct Answer is A
A) This choice is correct. Gender is a non-modifiable risk factor for DVT, with women generally having a higher risk than men. Hormonal changes, such as those associated with pregnancy, oral contraceptives, and hormone replacement therapy, can contribute to the increased risk in women.
B) This choice is incorrect because obesity is a modifiable risk factor for DVT, not a non-modifiable one. Clients can work to achieve and maintain a healthy weight to reduce their risk.
C) This choice is incorrect because smoking history is a modifiable risk factor for DVT. Clients can quit smoking to decrease their risk of blood clot formation.
D) This choice is incorrect because a sedentary lifestyle is a modifiable risk factor for DVT. Clients can engage in regular physical activity to reduce their risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. Encouraging active range of motion exercises helps prevent deep vein thrombosis (DVT) by promoting blood flow and reducing stasis in the veins. Moving the legs and ankles regularly helps prevent clot formation in immobilized clients.
B) This choice is incorrect because low-dose aspirin is not specifically indicated for preventing DVT. While aspirin may have some antiplatelet effects, it is not the primary preventive measure for DVT in high-risk clients.
C) This choice is incorrect because applying a heating pad to the affected leg is not a preventive measure for DVT. Heat application is not recommended for DVT prevention and could cause burns or injury.
D) This choice is incorrect because providing a soft mattress for the client's bed does not directly prevent DVT. The focus should be on encouraging movement and mobility to prevent DVT in clients at risk.
Correct Answer is C
Explanation
A) This choice is incorrect because swelling and redness in the affected leg are common clinical manifestations of DVT but are not specific to detecting potential complications like a pulmonary embolism. The nurse should focus on respiratory and cardiovascular assessments for this purpose.
B) This choice is incorrect because elevated body temperature and chills may indicate an infection but are not specific to detecting potential complications of DVT, such as a pulmonary embolism.
C) This choice is correct. Pleuritic chest pain (sharp chest pain worsened by deep breathing or coughing) and hemoptysis (coughing up blood) are classic clinical manifestations of a pulmonary embolism, a potentially life-threatening complication of DVT.
D) This choice is incorrect because abdominal pain and distension are not typical signs of a pulmonary embolism. Abdominal pain may be related to other causes, such as gastrointestinal issues.
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