Which of the following clients are at risk for developing blood clots and should be assessed frequently? Select all that apply
A) A college-aged female taking oral contraceptives for irregular menstrual periods
B) A middle-aged male who smokes three packs of cigarettes/day
C) A young adult who has a history of asthma and utilizes steroid inhalers daily
D) A marathon runner who exercises more than 4 hours/day
E) A diabetic client who is also greater than 100 pounds over the ideal body weight
Ans: A, B, E
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Hypercoagulability is associated with oral contraceptive use. The incidence of stroke, thromboemboli, and myocardial infarction is greater in women who use oral contraceptives, particularly those older than 35 years of age and those who smoke tobacco. Smoking and obesity promote hypercoagulability for unknown reasons. Asthma does not place one at great risk for developing a blood clot. Exercise is usually considered beneficial for the prevention of clot formation.
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