Which of the following clients is most at risk for deep vein thrombosis?
A. 50-year-old female with a fractured ankle who takes aspirin for rheumatoid arth-ritis
B. 25-year-old male athlete with a fractured clavicle
C. 40-year-old female diabetic with fractured ribs
D. 60-year-old male smoker with a fractured pelvis
D
Deep vein thrombosis as a complication with bone fractures occurs more often when the fractures are sustained in the lower extremities and the client has additional risk factors for thrombus formation. Other risk factors include obesity, smoking, oral contraceptives, previous thrombus events, advanced age, venous stasis, and heart disease.
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The patient has undergone intracerebral surgery. Knowing that interruption of the skull interferes with the brain's ability to autoregulate, what nursing assessment information most clearly indicates the highest patient risk?
A) Pulmonary adventitious sounds B) Capillary refill less than 2 seconds C) Blood pressure consistently elevated D) Pain at 8 on 0-to-10 scale
Which clinical scenario best represents hyperacute rejection?
a. A cardiac transplant patient with a 3-month history of shortness of breath b. A lung transplant patient with small pustules that follow a dermatome c. A liver transplant patient with several small lumps under the skin d. An implanted renal transplant that, upon reperfusion, becomes cyanotic
Which was considered the first national health insurance plan in the United States?
a. HMO Act b. Marine Hospital Service c. Medicare d. Medicaid
It seems that I keep making the same mistakes as I did when I was younger. I am applying which premise of the clinical paradigm?
a. Mental life lies outside of conscious awareness b. Human development is an intra- and interpersonal process c. There is rationale behind every act d. How we regulate and express emotions is central to a person's identity