A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative.

Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

Cataract extraction.

Myringotomy.

Laparoscopic appendectomy.

Hip arthroplasty.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.

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Correct Answer is A

Explanation

Choice A rationale:
Dysmenorrhea (painful periods) that is unresponsive to NSAIDs is a common symptom of endometriosis.
Choice B rationale:
An atypical Papanicolaou smear is not directly related to endometriosis.
Choice C rationale:
A history of pelvic inflammatory disease (PID) can increase the risk of endometriosis, but it’s not a symptom of the condition.
Choice D rationale:
Abdominal bloating before menses can be a symptom of many conditions, not just endometriosis.

A. Erythrocyte sedimentation rate (ESR). B. White blood cell (WBC) Count. C. Rheumatoid factor (RF). D. Antinuclear antibody (ANA).

Correct Answer is A

Explanation

Choice A rationale:
The ESR is a common blood test that measures how quickly red blood cells settle at the bottom of a test tube. Inflammation can cause the cells to settle faster, and this test can be used to monitor the effectiveness of anti-inflammatory treatments like aspirin.
Choice B rationale:
The WBC count is a measure of the body’s immune response and is not directly affected by aspirin.
Choice C rationale:
The RF is a specific marker for rheumatoid arthritis, but it does not change with aspirin treatment.
Choice D rationale:
The ANA is a test used to help diagnose autoimmune disorders, and it is not affected by aspirin.

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A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

Nursing Test Bank

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A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative.

Which of the following surgical procedures places the client at risk for deep-vein thrombosis?