The postpartum patient has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?
1. The patient reports she had this condition after her last pregnancy.
2. The patient develops pain and swelling in her left lower leg.
3. The patient appears anxious, and describes pressure in her chest.
4. The patient becomes upset that she cannot go home yet.
3
Rationale 1: This is a risk factor for the development of thrombophlebitis, but is neither a predictor nor an indication of complications.
Rationale 2: Development of bilateral thrombophlebitis is a complication, but not the top priority.
Rationale 3: Anxiety and sudden onset of chest pain or pressure might indicate pulmonary embolus, which is a life-threatening complication of thrombophlebitis. This is the most abnormal finding, and requires immediate intervention.
Rationale 4: Becoming upset is a psychosocial issue and far less important than another finding.
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