The nurse is caring for the following four clients on the nursing unit.
Which client is at the highest risk for the development of deep vein thrombosis?
55-year-old man with a past medical history of a myocardial infarction.
45-year-old woman post laparoscopic knee replacement.
65-year-old woman post major open abdominal surgery.
50-year-old man with a peptic ulcer.
The Correct Answer is C
Choice A rationale
While a past medical history of myocardial infarction does increase the risk of deep vein thrombosis (DVT), it is not the highest risk factor among the options provided. Other factors such as immobility, surgery, and certain medical conditions can pose a higher risk.
Choice B rationale
Postoperative patients, such as those who have had a laparoscopic knee replacement, are at an increased risk for DVT due to periods of immobility and changes in blood flow and clotting.
However, the risk is not as high as in patients who have undergone major open abdominal surgery.
Choice C rationale
Patients who have undergone major open abdominal surgery are at the highest risk for the development of DVT among the options provided. The surgery itself, along with the postoperative period of immobility, significantly increases the risk of DVT34567.
Choice D rationale
While peptic ulcers can be associated with certain risk factors for DVT, such as age and immobility due to pain, they do not pose as high a risk as major open abdominal surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid. However, excessive bicarbonate in the body can disrupt the acid-base balance, leading to metabolic alkalosis.
Choice B rationale
Respiratory acidosis is typically caused by conditions that result in hypoventilation, such as lung diseases or drug overdose, not by excessive antacid consumption.
Choice C rationale
Metabolic acidosis is typically caused by conditions that increase acid in the body or decrease bicarbonate, such as kidney disease or lactic acidosis, not by excessive antacid consumption.
Choice D rationale
Respiratory alkalosis is typically caused by conditions that result in hyperventilation, such as anxiety or fever, not by excessive antacid consumption.
Correct Answer is C
Explanation
Choice A rationale
While constipation can be a side effect of many medications, it is not commonly associated with metronidazole.
Choice B rationale
Anxiety is not a common side effect of metronidazole. If a patient experiences anxiety while taking metronidazole, it’s important to discuss this with a healthcare provider as it may be related to other factors.
Choice C rationale
Metronidazole may cause an unusual metallic taste in the mouth. This is a common side effect of the medication and is usually temporary. Patients should be advised that if the metallic taste persists or becomes bothersome, they should consult their healthcare provider.
Choice D rationale
While metronidazole can cause gastrointestinal upset, it’s not guaranteed to cause an upset stomach in every patient. If a patient experiences persistent or severe gastrointestinal upset while taking metronidazole, they should consult their healthcare provider.
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