Answer :
Final answer:
A client with a BMI of 38.6 is at increased risk for developing deep vein thrombosis (DVT), as obesity is a known risk factor due to potential impaired blood flow. Heart failure is another condition that increases the risk due to reduced circulation, which is critical to consider during situations such as long flights.
Explanation:
A client who is to undergo a surgical procedure may have several risk factors for developing deep vein thrombosis (DVT). Among the options provided, a BMI of 38.6 is an indication that the client is at increased risk for DVT. A high BMI is associated with obesity, which in itself is a risk factor for blood clots due to potential impaired blood flow and increased pressure on the veins. A history of asthma, use of glucosamine sulfate, and hypothyroidism, while relevant to overall health, are not directly linked as risk factors for DVT in comparison to a high BMI.
Heart failure increases the risk for DVT because the impaired pumping action of the heart can lead to sluggish blood flow, particularly in the deep veins of the legs, allowing blood clots to form more easily. It is particularly important for individuals with risk factors to move around and exercise the legs to help maintain good blood circulation and minimize the risk of clot formation, especially during situations such as long-haul flights where movement is restricted.