The nurse is caring for a patient with a deep venous thrombosis (DVT). Which finding requires the nurse's immediate attention?
a. Hematuria
b. Decreased sensation in the affected leg
c. Urine output of 35 mL in 1 hour
d. Hemoptysis
D
The primary concern for a patient with a DVT is the potential for embolisms. Hemoptysis (coughing up rust colored sputum) is the cardinal sign of a pulmonary embolus and is a medical emergency. Hematuria (bloody urine) is a finding that requires additional assessment but is not the priority. Hematuria may occur from trauma from Foley catheter insertion, use of blood thin-ners to treat the DVT, or a variety of other causative factors. Decreased sensation in the affected leg is an expected abnormal finding. Urine output of 35 mL/hr is normal.
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