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A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

BMI of 20

High calcium intake

Oral contraceptive use

Immobility

Hypertension

Answer and Explanation

Correct Answer : C,D

Rationale:

A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.

B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.

C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.

D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.

E. Hypertension is not typically considered a risk factor for deep vein thrombosis.

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Correct Answer is C

Explanation

Rationale:

A. Salt substitutes often contain potassium and should be avoided in clients with hyperkalemia.

B. Citrus juices and bananas are high in potassium and should be avoided in clients with hyperkalemia.

C. A 12-lead ECG may include changes such as peaked T wave, flattened P wave, prolonged PR interval, ST depression, and prolonged QRS duration.

D. A serum sodium level should be obtained but it is not the priority in this case.

A. "I will call the provider to get a prescription for discontinuing the IV heparin today." B. "Both heparin and warfarin work together to dissolve the clots." C. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay." D. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

Correct Answer is D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

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A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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