A nurse is contributing to the plan of care for a client who is admitted with deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?

Apply ice to the extremity.

Administer vasodilating medications.

Restrict oral fluids.

Monitor platelet levels.

Answer and Explanation

The Correct Answer is D

Choice A reason : Applying ice to the extremity is not a standard intervention for DVT. Ice is typically used to reduce inflammation and pain, but in the case of DVT, the priority is to prevent the clot from growing and embolizing. The use of warmth, not cold, may be recommended to help reduce discomfort and swelling.

Choice B reason : Administering vasodilating medications is not a typical intervention for DVT. Vasodilators are used to widen blood vessels and improve blood flow, but they do not address the risk of clot formation or embolization associated with DVT. The mainstay of medical treatment for DVT is anticoagulant therapy, which helps to prevent further clotting.

Choice C reason : Restricting oral fluids is not an intervention for DVT. Adequate hydration is important in the management of DVT as it can help to prevent blood from thickening and reduce the risk of further clot formation. There is no indication to restrict fluids unless there is another underlying condition that requires it.

Choice D reason : Monitoring platelet levels is an important intervention in the care of a client with DVT, especially if they are receiving anticoagulant therapy. Anticoagulants can affect platelet function and count, and monitoring is necessary to ensure safe levels and prevent complications such as bleeding or thrombocytopenia.

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Correct Answer is B

Explanation

Choice A reason : Probiotics are beneficial for gut health and may have a role in maintaining a healthy immune system, but they are not primarily known for lowering blood pressure. While some studies suggest a potential benefit of probiotics on blood pressure, more research is needed to establish a direct effect.

Choice B reason : Garlic is well-known for its potential benefits in lowering blood pressure. It contains allicin, which is thought to help relax blood vessels and improve blood flow, thereby reducing blood pressure. Studies have shown that garlic supplements can have a significant impact on reducing blood pressure in individuals with hypertension.

Choice C reason : Ginger root is commonly used for its anti-inflammatory properties and gastrointestinal benefits. Some studies suggest that ginger may help lower blood pressure, but the evidence is not as strong as it is for garlic. Therefore, it is not the primary recommendation for hypertension management.

Choice D reason : Valerian is often used for its sedative effects and to aid sleep. There is limited evidence to suggest that valerian has any significant impact on blood pressure. It is not typically recommended as a treatment for hypertension.

A. "I will not go barefoot." B. "I will use a thermometer to check the temperature of my bath water." C. "I will wear stockings with elastic tops." D. "I will avoid crossing my legs at the knees."

Correct Answer is C

Explanation

Choice A reason : Advising a client with PVD not to go barefoot is correct. Going barefoot can increase the risk of injury to the feet, which can be particularly dangerous in individuals with PVD due to poor circulation. Any injuries to the feet may heal poorly and can lead to complications such as ulcers or infections.

Choice B reason : Using a thermometer to check the temperature of bath water is a recommended practice for clients with PVD. Due to potential nerve damage and reduced sensation in the extremities, clients may not accurately gauge water temperature, leading to burns. Therefore, using a thermometer helps prevent thermal injury.

Choice C reason : Wearing stockings with elastic tops is not recommended for clients with PVD. Elastic tops can constrict blood flow in the legs, exacerbating circulation problems. Instead, clients should wear non-constricting, well-fitting socks or stockings that promote blood flow.

Choice D reason : Avoiding crossing legs at the knees is good advice for clients with PVD. Crossing the legs can restrict blood flow to the lower extremities, which is already compromised in PVD. Keeping the legs uncrossed and elevating them when possible can help improve circulation.

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A nurse is contributing to the plan of care for a client who is admitted with deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?

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