A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Immobility

Fracture

Atrial fibrillation

Anticoagulant therapy

Answer and Explanation

Correct Answer : A,B,E

A. Immobility is a significant risk factor for DVT because it can lead to blood stasis in the veins, increasing the risk of clot formation.

B. Fractures, particularly of the lower limbs, can lead to immobilization and contribute to the development of DVT.

C. Atrial fibrillation is associated with an increased risk of clot formation, but these clots typically form in the atria of the heart, not the deep veins. While these clots can embolize to other parts of the body, atrial fibrillation itself is not a direct cause of DVT.

D. Anticoagulant therapy is typically used to prevent DVT, not as a risk factor.

E. Estrogen therapy is associated with an increased risk of clot formation, making it a risk factor for DVT.

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Correct Answer is D

Explanation

A. Restlessness is a sign of hypoxia, indicating that oxygenation might still be inadequate.

B. A heart rate of 110/min suggests tachycardia, which can also be associated with ongoing hypoxia.

C. A respiratory rate of 28/min is elevated and may indicate continued respiratory distress or hypoxia.

D. Pink mucous membranes are a sign of adequate oxygenation and indicate that the supplemental oxygen is effective in resolving the hypoxia.

A. Pedal edema B. Dysphagia C. Distended neck veins D. Dyspnea

Correct Answer is D

Explanation

A. Pedal edema is related to fluid retention or circulatory issues, not atelectasis.

B. Dysphagia, or difficulty swallowing, is not typically associated with atelectasis.

C. Distended neck veins are a sign of increased central venous pressure, not atelectasis.

D. Dyspnea, or difficulty breathing, is a common sign of atelectasis, which is the collapse of part or all of a lung, leading to impaired gas exchange.

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A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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