The nurse is utilizing the Wells Scale to assess a client for deep vein thrombosis. Which of the following is assessed when using this scale? (Select all that apply.)
1. Treatment for cancer
2. Recent immobility for greater than 3 days
3. Recovery from surgery with general anesthesia within 12 weeks
4. Entire leg edematous
5. Pitting edema of the symptomatic leg
6. Blood pressure 130/86 mmHg
1, 2, 3, 4, 5
The Wells Scale is a tool used to assess a client for the presence of a deep vein thrombosis. Areas assessed include treatment or diagnosis of cancer, recent immobility for greater than 3 days, recovery from surgery during which the client received general or regional anesthesia within 12 weeks, entire leg swollen, and pitting edema confined to the symptomatic leg. Blood pressure is not a criteria used on this scale.
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