Patho Patho #46

Question

Which client is at highest risk for deep vein thrombosis (DVT)?

Answers

  1. A 9 year old female who is post-tonsillectomy with a history of type I diabetes mellitus.
    • Rationale:

      This answer choice is not correct because this client does not have any identifiable risk factors for DVT formation.

  2. A 48 year old male admitted to rule out myocardial infarction.
    • Rationale:

      This answer choice is not correct because this client does not have any risk factors for DVT formation.

  3. A 75 year old female admitted for a urinary tract infection with a history of hypertension.
    • Rationale:

      This answer choice is not correct because this client only has one identifiable risk factor for DVT formation which is her advanced age.

  4. An, obese 79 year old female with a 50 year history of smoking.
    • Rationale:

      This answer choice is correct because this client has 3 identifiable risk factors for DVT formation: obesity, smoking and advanced age.

Overview

This question is asking the nurse to identify the client with the most risk factors for deep vein thrombosis (DVT). With risk factor questions, it is helpful to count the risk factors for each client before choosing an answer. An obese, elderly client with a history of smoking has 3 risk factors for DVT which is more than any of the other clients.

Explanation

Learning Outcomes

Deep vein thrombosis (DVT) form in the deep veins within the extremities often following a period of immobility such as during a postoperative period. Additional risk factors for DVT formation include obesity, smoking, sedentary lifestyle, cancer, advanced age and critical illness. A 79 year old client who is obese and has a long history of smoking has three risk factors for DVT formation.

Test Taking Tip

When answering risk factor questions, always count up the risk factors for each client before selecting the correct answer.

Video Rationale