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?

Auscultating the lungs for crackles.

Checking for a positive Homans' sign.

Measuring blood pressure in both arms.

Performing a capillary refill test.

Answer and Explanation

The Correct Answer is B

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) This choice is incorrect because venous Doppler ultrasound is a non-invasive imaging test commonly used to diagnose DVT. However, it is not considered the gold standard due to potential limitations in visualizing small clots and deep veins.

B) This choice is incorrect because the D-dimer blood test is a screening test used to detect the presence of blood clot breakdown products. While it can help rule out DVT when negative, it is not the definitive diagnostic test.

C) This choice is incorrect because magnetic resonance imaging (MRI) is a sensitive imaging modality but is not considered the gold standard for diagnosing DVT. MRI may be used in specific cases, but contrast venography remains the gold standard.

D) This choice is correct. Contrast venography involves injecting contrast dye into the veins and taking X-ray images to visualize the blood flow and detect any clots. It is considered the gold standard for diagnosing DVT, as it provides direct visualization of the clot and the extent of its involvement.

A. "My age and family history put me at risk for DVT." B. "I will stop taking my prescribed anticoagulant medication." C. "I will quit smoking to reduce my risk of DVT." D. "I cannot control my sedentary lifestyle."

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the diagnostic tests for deep vein thrombosis (DVT) to a client. Which test is considered the gold standard for diagnosing DVT?

Correct Answer is D

Explanation

A nurse is providing education to a client about the risk factors for deep vein thrombosis (DVT). Which client statement indicates an understanding of modifiable risk factors?

Correct Answer is C

Explanation

A client with a history of deep vein thrombosis (DVT) is scheduled for a long-haul flight. What should the nurse recommend to the client as a preventive measure during the flight?

A client with deep vein thrombosis (DVT) is prescribed compression stockings. What is the nurse's best explanation for the purpose of using compression stockings?

A nurse is assessing a client for possible deep vein thrombosis (DVT). Which clinical manifestation is most indicative of DVT?

A client is at high risk for deep vein thrombosis (DVT) due to immobility. What should the nurse implement as a preventive measure for this client?

A nurse is providing education to a client at risk of deep vein thrombosis (DVT). What is the most crucial instruction the nurse should include in the client's teaching plan?

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?

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?

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?