A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

"Do you have a family history of high cholesterol?"

"Have you ever been diagnosed with asthma?"

"Have you recently traveled on a long flight?"

"Do you take any medications for diabetes?"

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.

B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.

C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.

D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.

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Correct Answer is B

Explanation

A) This choice is incorrect because auscultating the lungs for crackles is not directly related to confirming the presence of deep vein thrombosis (DVT). Lung auscultation may be performed to assess for potential complications of DVT, such as pulmonary embolism.

B) This choice is correct. Homans' sign is a clinical test used to assess for the presence of DVT. The nurse flexes the client's knee and gently dorsiflexes the foot. A positive Homans' sign is indicated by calf pain or discomfort during dorsiflexion and may suggest the presence of a blood clot in the deep veins of the leg.

C) This choice is incorrect because measuring blood pressure in both arms is not a specific assessment for deep vein thrombosis (DVT). It may be done as part of a routine assessment but does not confirm the presence of DVT.

D) This choice is incorrect because performing a capillary refill test is not specific to DVT assessment. Capillary refill is a measure of peripheral perfusion and may be useful in assessing overall circulatory status, but it does not directly confirm the presence of DVT.

A. Relieving leg pain and swelling. B. Preventing the clot from dislodging. C. Eliminating the risk factors for DVT. D. Administering anticoagulant therapy.

Correct Answer is B

Explanation

A) This choice is incorrect because while relieving leg pain and swelling is an important aspect of DVT treatment, the primary goal is to prevent the clot from dislodging and causing a pulmonary embolism or other complications.

B) This choice is correct. The primary goal of DVT treatment is to prevent the clot from dislodging and traveling to the lungs, where it can cause a potentially life-threatening pulmonary embolism. Anticoagulant therapy and other interventions are used to stabilize the clot and prevent its migration.

C) This choice is incorrect because eliminating the risk factors for DVT is not the primary goal of treatment for a client who already has DVT. Preventing clot progression and complications take precedence over addressing risk factors at this stage.

D) This choice is incorrect because while administering anticoagulant therapy is a common treatment for DVT, it is a specific intervention rather than the primary goal. Anticoagulants help prevent the clot from growing and reduce the risk of embolism.

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A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents with swelling, redness, and warmth in one leg. The nurse suspects deep vein thrombosis (DVT). What initial assessment should the nurse perform to confirm the presence of DVT?

Correct Answer is B

Explanation

A nurse is caring for a client with deep vein thrombosis (DVT). What is the primary goal of treatment for this client?

Correct Answer is B

Explanation

A nurse is caring for a client with suspected deep vein thrombosis (DVT). Which diagnostic test is used to assess blood flow and detect clots in the deep veins of the legs non-invasively?

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A nurse is educating a client about the importance of compliance with anticoagulant therapy for deep vein thrombosis (DVT). The client asks, "Why is it essential to take these medications?" What is the nurse's best response?

A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which statement made by the client indicates a need for further teaching?