The nurse is caring for a postoperative client on the medical-surgical unit following a total left hip replacement the previous day. During the assessment, the nurse notes that the client's left leg is cool, with weak pedal pulses
What is the nurse's first action? a. Assess circulatory status of the right leg.
b. Notify the surgeon immediately.
c. Measure leg circumference at the calf.
d. Check for bilateral Homans' signs.
A
The symptoms may represent impaired circulation or may be normal for this client. Before the surgeon is notified, the status of the nonoperative leg should be assessed and assessment findings on both legs compared with the client's baseline. Homans' sign (pain in the calf on dorsiflexion of the foot) is not always indicative of a deep vein thrombosis and should not be evaluated until other assessments are made. Measuring calf circumference would provide additional data related to deep vein thrombosis.
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The individual with narcissistic personality disorder would MOST likely be described as:
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