A client is admitted to the hospital with symptoms suggestive of deep vein thrombosis (DVT). Which test can provide rapid results to rule out DVT and guide further diagnostic workup?
D-dimer blood test.
Contrast venography.
Magnetic resonance imaging (MRI).
Wells score assessment.
The Correct Answer is A
A) This choice is correct. The D-dimer blood test is a rapid and sensitive screening test that can help rule out DVT in low-risk individuals. A negative D-dimer result can be useful in excluding DVT, avoiding unnecessary imaging or invasive tests.
B) This choice is incorrect because contrast venography is not a rapid test and involves invasive procedures. It is not used as a first-line screening test due to its complexity and potential risks.
C) This choice is incorrect because magnetic resonance imaging (MRI) may provide valuable information, but it is not the first choice for rapid rule-out of DVT. MRI may be employed in specific cases when initial screening tests are inconclusive.
D) This choice is incorrect because the Wells score assessment is not a diagnostic test but a scoring system to estimate the likelihood of DVT. It does not provide rapid results to rule out DVT directly.
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Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because age and family history are non-modifiable risk factors for DVT. While they may increase the risk, they cannot be changed or controlled by the client.
B) This choice is incorrect because stopping prescribed anticoagulant medication is not recommended and may increase the risk of DVT. Anticoagulants are often prescribed to prevent or treat DVT and should not be discontinued without healthcare provider guidance.
C) This choice is correct. Smoking is a modifiable risk factor for DVT, and quitting smoking can reduce the risk of blood clot formation and other cardiovascular complications.
D) This choice is incorrect because while the client may have difficulty controlling a sedentary lifestyle, it is still considered a modifiable risk factor for DVT. Engaging in regular physical activity can help reduce the risk of blood clot formation.
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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