A client is scheduled for a venous Doppler ultrasound to assess for deep vein thrombosis (DVT). What instructions should the nurse provide to the client before the procedure?

"You should avoid eating or drinking anything for 12 hours before the test."

"Do not take any prescribed medications on the morning of the procedure."

"Wear loose-fitting clothing that can be easily removed."

"Expect to receive contrast dye intravenously during the test."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because fasting is not necessary before a venous Doppler ultrasound. The client can eat and drink normally before the test.

B) This choice is incorrect because the client should continue to take prescribed medications as usual unless otherwise instructed by the healthcare provider. Medications that thin the blood, such as anticoagulants, may not be stopped before the test.

C) This choice is correct. The client should wear loose-fitting clothing that can be easily removed to allow access to the affected area during the ultrasound. This facilitates the ultrasound technician's ability to perform the test accurately.

D) This choice is incorrect because contrast dye is not typically used in a venous Doppler ultrasound. Contrast venography may involve the use of contrast dye, but not Doppler ultrasound.

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Correct Answer is D

Explanation

A. Measuring the client's blood pressure is an important assessment but is not the immediate priority when preparing to administer enoxaparin.
B. Assessing the client's platelet count is critical before administering enoxaparin, especially because low molecular weight heparins can lead to heparin-induced thrombocytopenia (HIT). Monitoring platelet levels helps to ensure the client's safety and prevent complications.
C. Ensuring the client has an indwelling urinary catheter is not necessary for the administration of enoxaparin and does not relate to its safety or efficacy.
D. Obtaining the client's weight is relevant for dosing but is secondary to assessing the platelet count, particularly in light of the risk of HIT.

A. "Avoid engaging in regular physical activity." B. "Maintain a diet high in saturated fats and cholesterol." C. "Elevate your legs above the heart level while resting." D. "Continue taking prescribed anticoagulant medication as directed."

Correct Answer is D

Explanation

A) This choice is incorrect because regular physical activity is an essential preventive measure for DVT. Encouraging the client to engage in physical activity is vital for maintaining good circulation and reducing the risk of clot formation.

B) This choice is incorrect because a diet high in saturated fats and cholesterol is not a recommended preventive measure for DVT. A healthy, balanced diet is important for overall health, but it does not specifically prevent DVT.

C) This choice is incorrect because elevating the legs above heart level while resting is beneficial for reducing edema and improving blood flow but is not the primary preventive measure for DVT.

D) This choice is correct. The client should continue taking prescribed anticoagulant medication as directed by their healthcare provider. Anticoagulant therapy is often prescribed for a specific duration to prevent clot formation and reduce the risk of complications in clients with DVT.

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A client is scheduled for a venous Doppler ultrasound to assess for deep vein thrombosis (DVT). What instructions should the nurse provide to the client before the procedure?

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Naxlex Comprehensive Predictor Exams

A client with deep vein thrombosis (DVT) is prescribed enoxaparin, a low molecular weight heparin (LMWH). What is the nurse's priority action before administering the medication?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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