A patient with lymphangitis is experiencing lymphedema. The nurse is aware that the lymphedema may be due to:
A) Obstructed lymph vessels
B) Sensitivity to antibiotics
C) Accumulation of blood
D) Improper anticoagulant use
Ans: A
Feedback: Lymphedema is caused by accumulation of lymph in the tissues and may be a result of obstructed lymph vessels.
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A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her
uncle. She has told her mother, who thinks she is lying. In a disjointed fashion, the client tells the nurse the following: (1) "I am all confused. I got desperate and tried to kill myself.". (2) "For a few days I just sat in my room. I told my mother I was sick.". (3) "I tried to figure out what to do. First I thought I would live with my friend, but her mother said I couldn't. Then I thought I would go live in a homeless shelter.". (4) "I told my mother, hoping she would tell my uncle he couldn't come to the house anymore.". The client has actually described the four distinct phases of crisis according to Caplan. Which of the following reflects the statements in the correct order to coincide with Caplan's theory? a. 1, 2, 3, 4 b. 4, 2, 3, 1 c. 3, 2, 1, 4 d. 4, 3, 2, 1
An elderly adult trips over her dog and receives an injury to her skin that causes minor blood loss. Primary hemostasis is activated in this patient. What occurs during primary hemostasis?
A) Severed blood vessels constrict. B) Thromboplastin is released. C) Prothrombin is converted to thrombin. D) Fibrin is lysed.
The postprocedure teaching plan for a client receiving cryosurgery for cervical cancer would include the instruction to
a. avoid vigorous perineal hygiene. b. report any malodorous discharge immediately. c. report discharge that continues longer than 8 weeks. d. take frequent sitz baths to minimize pain.
When assessing a client for possible abuse, which of the following would most likely indicate that the client is a victim of abuse?
A) Repeated emergency department visits for injuries B) Poor or no prenatal care C) History of alcohol abuse D) Failure to gain weight in pregnancy