A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?
Performing isometric exercises hourly.
Wearing graduated compression stockings.
Limiting fluid intake to reduce blood volume.
Avoiding elevation of the legs while resting.
The Correct Answer is B
A) This choice is incorrect because while isometric exercises can promote blood flow, the recommended preventive measure for DVT is wearing graduated compression stockings. Exercises alone may not be sufficient to prevent clot formation.
B) This choice is correct. Graduated compression stockings apply pressure to the lower extremities, improving blood flow and reducing the risk of stasis and clot formation. They are commonly used as a preventive measure for clients at risk of DVT, particularly after surgery or during prolonged immobility.
C) This choice is incorrect because limiting fluid intake is not a preventive measure for DVT and may not be safe or appropriate for all clients. Adequate hydration is essential to maintain blood volume and circulation.
D) This choice is incorrect because elevating the legs while resting is a recommended measure to improve blood flow and reduce edema, which can be beneficial. However, wearing graduated compression stockings is a more specific preventive measure for DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because DVT is not caused by a bacterial infection in the blood vessels. It is primarily related to the formation of blood clots within the veins due to various risk factors.
B) This choice is incorrect because while injuries may be associated with DVT in some cases, they are not the primary cause. The formation of blood clots in the veins remains the underlying cause.
C) This choice is incorrect because atherosclerosis in the arteries is not the main cause of DVT. Atherosclerosis is a condition that involves the buildup of plaque in the arteries, not the veins.
D) This choice is correct. Deep vein thrombosis (DVT) is primarily caused by the formation of blood clots within the veins, typically in the lower extremities. These clots can obstruct blood flow and may lead to serious complications if not treated promptly.
Correct Answer is A
Explanation
A) This choice is correct. Performing calf-stretching exercises in the aisle can help improve blood circulation in the legs during a long flight and reduce the risk of stasis and clot formation.
B) This choice is incorrect because using a heating pad on the legs during a flight may not be feasible or safe. It is not a recommended preventive measure for DVT.
C) This choice is incorrect because wearing compression stockings during the flight is a recommended preventive measure for DVT. Compression stockings help improve blood flow and reduce the risk of clot formation during prolonged immobility.
D) This choice is incorrect because taking prescribed anticoagulant medication before boarding a flight is not a recommended preventive measure for all clients. The decision to take anticoagulant medication before a flight should be based on the client's individual risk factors and medical history.
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