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?

Measuring the client's blood pressure.

Assessing the client's platelet count.

Ensuring the client has an indwelling urinary catheter.

Obtaining the client's weight.

None

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A) This choice is incorrect because arterial blood gas (ABG) analysis assesses oxygen and carbon dioxide levels in the blood, primarily used for respiratory and acid-base evaluations, not for confirming DVT.

B) This choice is correct. The D-dimer blood test is a screening test used to detect the presence of blood clot breakdown products in the blood. Elevated levels of D-dimer may suggest the presence of a blood clot, prompting further diagnostic testing for DVT.

C) This choice is incorrect because an electrocardiogram (ECG) primarily assesses the electrical activity of the heart and is not specific to confirming DVT. It may be useful to assess cardiac function in individuals with suspected pulmonary embolism.

D) This choice is incorrect because a chest X-ray is not used to confirm DVT. It is helpful in assessing the lungs and heart, particularly for detecting potential complications of DVT like a pulmonary embolism, but it does not directly diagnose DVT.

A. "Do you have a family history of high cholesterol?" B. "Have you ever been diagnosed with asthma?" C. "Have you recently traveled on a long flight?" D. "Do you take any medications for diabetes?"

Correct Answer is C

Explanation

A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.

B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.

C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.

D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected deep vein thrombosis (DVT). Which diagnostic test should the nurse anticipate to confirm the presence of DVT?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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