The nurse would suspect deep venous thrombosis in a client with which of the following assessment findings?

1. Bilateral calf tenderness after walking up a flight of stairs
2. Swelling in one leg with pitting edema
3. Shortness of breath after activity
4. Two plus palpable pedal pulses


2. Swelling in one leg with pitting edema

Rationale:
Swelling in one leg with pitting edema is suggestive of deep venous thrombosis in the vein of the affected leg because the clot is obstructing the venous return from the leg. Bilateral calf tenderness may be a normal reaction to the exercise of climbing stairs. Shortness of breath that subsides after activity and two plus palpable pulses are normal.

Nursing

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