If a DVT (deep vein thrombosis) is suspected, the nurse should:
a. perform a Homans sign on the affected leg.
b. dorsiflex the foot of the affected leg.
c. palpate the affected leg for edema and pain.
d. place the client on bed rest, with the affected leg elevated.
ANS: D
Initial treatment of DVT is bed rest with the leg elevated to decrease swelling and promote venous return. Performing a Homans sign, dorsiflexing the foot, and palpating the leg are contraindicated actions that may dislodge a DVT and result in a pulmonary embolism.
You might also like to view...
Which statement by the pregnant client indicates that teaching has been effective?
1. "I should not have sex, because this is my first pregnancy." 2. "Some sexual positions should be avoided during pregnancy." 3. "We should quit having sex when I get to 8 months." 4. "I can tell my partner that having sex won't hurt the baby."
You are caring for an older female patient who is being treated for acute anxiety. She has a nursing diagnosis of Ineffective Coping related to a feeling of helplessness. What would be the most appropriate nursing intervention?
A) Put the primary onus for planning care on the patient herself. B) Assess and provide constructive outlets for anger and hostility. C) Assess the patient's sources of social support. D) Encourage an attitude of realistic hope to help her deal with helpless feelings.
The theory of nursing as caring directs nurses to respond to calls for nursing with
A. The intention of following a predetermined plan of care. B. Acknowledgment of patient needs. C. Authentic presence. D. All of the above
Which of the following statements has been shown to be true about female leaders?
A. They are concerned about enhancing the self-worth of others. B. They tend to discourage participation. C. They tend to hold on to power and infor-mation. D. All of the above