The nurse is caring for a client with a deep vein thrombosis in the popliteal vein. Which component of a head-to-toe assessment is crucial?

A) Lung sounds
B) Level of consciousness
C) Amount of pain
D) Peripheral edema


A
Feedback:
Thrombi that form above the popliteal vein of the leg are at higher risk for migration toward the pulmonary circulation. Assessing lung sounds can identify changes quickly. A pulmonary embolus can be a life-threatening condition. The other options do not reflect on the most crucial assessment for this critical complication of DVT.

Nursing

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