A client who has experienced signs of Virchow's triad has developed a deep vein thrombosis. Which of the following is not a part of this triad?

1. Venous stasis
2. Vessel wall injury
3. Alteration in blood clotting
4. Pregnancy


4
Pregnancy is a risk factor for thrombus, but it is not part of Virchow's triad.Virchow's triad includes venous stasis, vessel wall injury, and alteration of blood coagulation.

Nursing

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The nurse explains that digested macronutrients are stored:(Select all that apply) Standard Text: Select all that apply

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A nurse is planning a presentation for psychiatric clients and their families on client rights. This would be an example of:

1. Maleficence. 2. Duty to warn. 3. Advocacy. 4. Competency.

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The nurse is assessing the function of the client's cranial nerve XII (hypoglossal). Which activity will allow the nurse to assess this nerve during the client's physical assessment?

1. "Can you stick out your tongue?" 2. "I'm going to ask you to taste something and tell me what you think it is." 3. "Close your eyes and tell me when you feel me touch your face with this wisp of cotton." 4. "I'm going to lightly touch the back of your throat with this tongue depressor."

Nursing

A postoperative patient rapidly presents with hypotension; rapid, thready pulse; oliguria; and cold, pale skin. The nurse suspects that the patient is experiencing a hemorrhage. What should be the nurse's first action?

A) Leave and promptly notify the physician. B) Quickly attempt to determine the cause of hemorrhage. C) Begin resuscitation. D) Put the patient in the Trendelenberg position.

Nursing