A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The nurse monitors for which findings that would indicate DVT is occurring?
1. Positive Homans' sign
2. Decreased urine output
3. Confusion
4. Tachypnea
1
Rationale 1: Homans' sign is considered positive when plantar and dorsiflexion on the affected side cause calf pain. A positive Homans' is considered a sign of possible DVT.
Rationale 2: Dehydration may cause DVT, but decreased urine output alone would not be a reason to suspect DVT.
Rationale 3: Confusion is not a sign of DVT, but it may indicate that venous thromboembolism has occurred from a DVT.
Rationale 4: Tachypnea is not a sign of DVT, but it may indicate that venous thromboembolism has occurred from a DVT.
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