Final answer:
When a client being treated for DVT experiences chest pain and shortness of breath, the nurse should first assess vital signs, administer oxygen if needed, and seek emergency help due to the risk of pulmonary embolism. Quick action is essential for the client's well-being.
Step-by-step explanation:
When a client who is being treated for a deep vein thrombosis (DVT) complains of chest pain and shortness of breath, this situation could signify a potentially life-threatening condition known as a pulmonary embolism (PE), where a blood clot has traveled to the lungs. The nurse's first response should be to assess the client's cardiovascular and respiratory status, administer oxygen if necessary, and seek emergency medical support immediately. Prompt action is crucial as PE can quickly lead to serious complications such as sudden death due to disruption of pulmonary circulation.
DVT occurs when a blood clot forms in a deep vein, commonly in the legs. Clients with heart failure are at increased risk because the weakened heart can lead to slower blood circulation, allowing blood clots to form more easily. Additionally, immobility, such as sitting for long periods during flights, further increases this risk because of the lack of movement in the skeletal muscles around the veins, which normally helps push blood back to the heart. Proper management and prevention include mobility exercises, medication, and sometimes, the use of compression stockings.The clinical priority in the case of a client with DVT exhibiting symptoms of PE is to ensure the client's airway, breathing, and circulation are not compromised. The nurse must act quickly to assess and support the client while collaborating with emergency response teams. Understanding the connection between heart conditions like heart failure and the risk of DVT can help guide nursing interventions.