A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include?

Wearing loose, non-constricting stockings

Applying cool compresses to her legs

Taking an NSAID tablet daily

Flexing her knees and feet frequently

Answer and Explanation

The Correct Answer is D

A. Wearing loose, non-constricting stockings: This instruction is not recommended for a client with DVT. Compression stockings, which are snug-fitting, may be prescribed to prevent DVT, but loose stockings would not provide the necessary compression.

B. Applying cool compresses to her legs: Cool compresses are not typically recommended for DVT. Warm compresses may be used to improve blood circulation, but cold compresses may not be suitable.

C. Taking an NSAID tablet daily: Nonsteroidal anti-inflammatory drugs (NSAIDs) are not typically recommended for individuals with DVT, especially when on anticoagulant therapy, as they may increase the risk of bleeding.

D. Flexing her knees and feet frequently: This is the correct answer. Encouraging the client to flex her knees and feet frequently helps promote blood circulation and reduces the risk of venous stasis, which can contribute to the formation of blood clots. It is a beneficial measure for clients with DVT.

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Correct Answer is B

Explanation

A. Respiratory alkalosis: Respiratory alkalosis is characterized by a decrease in carbonic acid (CO2) due to hyperventilation, leading to an increased pH. Shallow respirations would not typically cause respiratory alkalosis.

B. Respiratory acidosis: This is the correct answer. Shallow respirations result in inadequate elimination of CO2, leading to an excess of carbonic acid and the development of respiratory acidosis.

C. Metabolic acidosis: Metabolic acidosis is characterized by a decrease in bicarbonate (HCO3-), not carbonic acid (CO2). Shallow respirations would not directly contribute to metabolic acidosis.

D. Metabolic alkalosis: Metabolic alkalosis is characterized by an increase in bicarbonate (HCO3-). Shallow respirations would not typically cause metabolic alkalosis.

A. "Increasing my intake of foods containing trans-fatty acids can lower my risk." B. "Adding foods containing omega-3 fatty acids to my diet can lower my risk." C. "A weight loss program can decrease my LDL cholesterol level." D. "Exercising regularly will increase HDL cholesterol levels."

Correct Answer is A

Explanation

A. "Increasing my intake of foods containing trans-fatty acids can lower my risk." - This statement is incorrect. Trans-fatty acids are associated with an increased risk of cardiovascular disease. The client should be advised to reduce or eliminate the consumption of foods containing trans fats.

B. "Adding foods containing omega-3 fatty acids to my diet can lower my risk." - This statement is correct. Omega-3 fatty acids, found in fish and certain plant sources, have been associated with a decreased risk of cardiovascular disease.

C. "A weight loss program can decrease my LDL cholesterol level." - This statement is correct. Weight loss, especially in the context of a healthy diet and regular exercise, can contribute to a decrease in LDL (low-density lipoprotein) cholesterol levels.

D. "Exercising regularly will increase HDL cholesterol levels." - This statement is correct. Regular exercise is associated with an increase in HDL (high-density lipoprotein) cholesterol, which is considered beneficial for heart health.

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A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include?

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