Assessment for deep vein thrombosis (DVT) is a priority for which client?
1. A client with a gastric ulcer
2. A client with hypertension
3. A client recovering from a knee replacement
4. A client with pneumonia
Correct Answer: 3
Rationale 1: A gastric ulcer does not increase the risk of DVT.
Rationale 2: Hypertension does not significantly increase a client's risk of DVT.
Rationale 3: Surgery of the lower extremities, especially knee and hip replacements, are common causes of DVT.
Rationale 4: Pneumonia is not a risk factor for the development of DVT.
Global Rationale: Surgery of the lower extremities, especially knee and hip replacements, are common causes of DVT. A gastric ulcer does not increase the risk of DVT. Hypertension does not significantly increase a client's risk of DVT. Pneumonia is not a risk factor for the development of DVT.
You might also like to view...
A patient with a suspected skull fracture is observed to have "raccoon eyes," or bilateral periorbital bruising. What other symptom does the nurse expect?
A) Positive Battle's sign B) Cerebrospinal fluid rhinorrhea C) Cerebrospinal fluid otorrhea D) Maxillary–cranial separation
The nurse suspects that a client has a hearing disorder; however, the client denies not being able to hear. Which initial action by the nurse to assess the client's hearing is appropriate?
A) Use an otoscope to visualize the inner ear. B) Schedule a Weber and Rinne test. C) Confront the client with the suspicion. D) Observe the client's interaction with family.
A patient diagnosed with severe depression exhibits psychomotor retardation and a sense of worthlessness manifested in poor personal hygiene. The patient refuses to shower, stating, "I can't.". The nurse should:
a. not force the issue before a nurse-patient relationship has been established. b. matter-of-factly assist the patient to shower and dress in clean clothes. c. state that the patient will be required to shower the following morning. d. explain that others respond negatively to those with poor hygiene.
A nurse prepares to administer melarsoprol intravenously to a patient with trypanosomiasis. The dosage is 3 mg/kg, and the patient weighs 154 pounds. The nurse will administer _____ milligrams
Fill in the blank with the appropriate word.