Which of the following clients does the nurse identify as having the greatest risk for deep venous thrombosis?
1. The client admitted with new-onset type II diabetes mellitus
2. The client admitted with community-acquired pneumonia
3. The postoperative client following knee replacement surgery
4. The postoperative client following laparoscopic gallbladder surgery
3. The postoperative client following knee replacement surgery
Rationale:
The postoperative client following knee replacement surgery is correct because deep venous thrombosis develops in more than 50% of clients having orthopedic surgery related to the nature of the surgery itself as well as the prolonged immobility occurring after surgery. The client admitted with new-onset type II diabetes mellitus, the client admitted with community-acquired pneumonia, and the postoperative client following laparoscopic gallbladder surgery would not be lower risk for deep venous thrombosis because none of these clients has prolonged immobility.
You might also like to view...
Which are characteristics of a stage I pressure ulcer? (Select all that apply.)
a. The area is regular and well defined. b. Tissue hardening is present. c. Swelling has occurred at the site. d. The condition is reversible. e. Nonblanching erythema is observed.
When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction?
A) Intense B) Strong C) Moderate D) Mild
The nurse checks the chemical sterility indicators on two packs of instruments, noting that the indicator is black on package A and unchanged on package B. Which should the nurse do next in the operating room?
1. Replace package B. 2. Use neither package. 3. Disinfect package B. 4. Cancel the procedure.
You are having trouble examining the abdomen of a school-aged child due to ticklishness. What should you do?
A) Have the child press on your hand. B) Have the parent insist that the child allow you to examine her. C) Ask the parent to leave the room. D) Make the child realize that this is part of the examination and must be done.