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?

Perform calf-stretching exercises in the aisle.

Use a heating pad on the legs to promote circulation.

Avoid wearing compression stockings during the flight.

Take prescribed anticoagulant medication before boarding.

Answer and Explanation

The Correct Answer is A

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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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. Performing isometric exercises hourly. B. Wearing graduated compression stockings. C. Limiting fluid intake to reduce blood volume. D. Avoiding elevation of the legs while resting.

Correct Answer is B

Explanation

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.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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