The client developed a pulmonary embolism. In which most distal area of the lower extremity did the embolism likely originate?
1. A.
2. B.
3. C.
4. D.
Correct Answer: 3
The client is more likely to have developed a blood clot within the calf. Blood clots can develop in the popliteal area as well but this site is less distal than the calf.
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While obtaining a health history from the mother of a 1-year-old child, the nurse notices that the baby has had a bottle in his mouth the entire time. The mother states, "It makes a great pacifier." The best response by the nurse would be:
a. "You're right. Bottles make very good pacifiers." b. "Using a bottle as a pacifier is better for the teeth than thumb-sucking." c. "It's okay to use a bottle as long as it contains milk and not juice." d. "Prolonged use of a bottle can increase the risk for tooth decay and ear infections."
What characteristic of pain would the nurse expect in a patient with acute appendicitis?
A) Dull, achy upper abdominal pain B) Intermittent and sharp upper left quadrant pain C) Crampy and steady right lower quadrant pain D) Sharp central abdominal pain
A patient with diabetes is diaphoretic, has a heart rate of 112 beats per minute, and is feeling nervous and shaky. What action should the nurse take first?
1. Provide the patient with a snack of milk and crackers. 2. Administer insulin utilizing the prescribed sliding scale dosages. 3. Contact the laboratory and order a serum glucose level. 4. Obtain a capillary serum glucose level reading with a glucose meter.
The nurse is caring for a patient who is comatose after a traumatic brain injury. Which of the following would be important for the nurse to include when planning for this patient's nutritional needs?
1. limit protein intake to encourage the body to utilize circulating blood glucose 2. ensure adequate protein intake to maintain a positive nitrogen balance 3. plan to implement hyperalimentation as soon as possible 4. provide adequate calories in the form of carbohydrates and fats