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Practice Question

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.)

Answer Choices:

Correct Answer:

Immobility

Rationale:

Immobility

💎Lack of movement leads to venous stasis, a key component of Virchow’s Triad (stasis, endothelial injury, hypercoagulability) that increases risk for DVT.

💎Prolonged bedrest, long travel, or postoperative immobility slows blood flow, allowing clots to form.

💎Early ambulation, compression devices, and leg exercises are crucial preventive strategies.

Fracture

💎Bone fractures, especially of the pelvis, hip, or leg, cause endothelial damage and release of tissue factors, both of which promote clot formation.

💎Orthopedic injuries are among the highest risk factors for DVT development.

💎Post-fracture patients often require anticoagulant prophylaxis and mechanical compression therapy.

Estrogen therapy

💎Estrogen-containing medications (e.g., oral contraceptives, hormone replacement therapy) increase coagulability of blood, raising the risk for thromboembolic events.

💎Estrogen promotes clotting factor synthesis in the liver and reduces natural anticoagulants.

💎Women taking estrogen therapy are counseled about lifestyle risk reduction, especially smoking cessation, to lower clot risk.

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This question is from Custom Adult Hlth I Hematology and Immune Test I which contains 51 questions.

More Questions from This Exam
A nurse is providing care to a client who has a skin infection. The client questions the necessity of testing "Why do you need to take a culture? It's clearly infected. Just give me some amoxicillin and let me go home." Which of the following responses by the nurse is most appropriate?

Answer Choices:

A. "The over-prescription of medications like amoxicillin is the reason why there are so many medication-resistant bacteria now. With a skin infection like this, methicillin-resistant Staphylococcus aureus is possible.”
B. "Amoxicillin is usually not the right kind of antibiotic for a skin infection. You are going to need something stronger that can reduce the risk of methicillin-resistant Staphylococcus aureus."
C. "The culture is needed to determine whether the infection is bacterial. If it is bacterial, knowing the kind of bacteria helps the physician determine which antibiotic you need.”
D. "If we do not take a culture and it turns out to be a more serious infection than you think, complications could occur. We need to test to avoid any risk of malpractice.”
From Exam
Custom Adult Hlth I Hematology and Immune Test I

51 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 5
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