A pregnant client is seen in the health care clinic. During the prenatal visit, the client informs the nurse that she is experiencing pain in her calf when she walks. Which of the following is the ap-propriate nursing action?
1. Instruct the client to avoid walking.
2. Assess for signs of venous thrombosis.
3. Tell the client that this is normal during pregnancy.
4. Instruct the client to elevate her legs consistently throughout the day.
2
Rationale: If a woman complains of calf pain during walking, it could be an indication of venous thrombosis of the lower extremities. The appropriate nursing action would be to check for the presence of additional signs of venous thrombosis. It is not appropriate to tell the mother that this is normal during pregnancy. Ambulation is a necessary exercise, and the woman should be en-couraged to ambulate during pregnancy. Although it is important to elevate the legs during pregnancy, elevating the legs consistently is not the appropriate nursing action.
You might also like to view...
The nurse teaches a 65-year-old client with a chronic constipation problem. In reviewing her dietary habits, the nurse finds that the client's diet is low in fiber
Which of the following points should the nurse prioritize when teaching about increasing fiber intake? A) Add 20 g of fiber to other foods (such as wheat bran to ground beef or muffins). B) Attempt a bowel movement following breakfast. C) Use a suppository to stimulate elimination. D) Add fiber gradually to minimize symptoms of gas or bloating.
During a physical assessment, a client tells the nurse that his penis "hurts" when the shaft is touched. What should the nurse suspect is occurring with this client?
A) Urethral stricture B) Acute orchitis C) Inflammatory disease D) Acute epididymitis
The patient has been diagnosed with early stage pneumonia. The nurse would anticipate which laboratory results?
1. Increased PaO2 and increased PaCO2 2. Decreased PaO2 and normal PaCO2 3. Normal PaO2 and elevated PaCO2 4. Decreased PaO2 and increased PaCO2
Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?
a. From 1800 to 2200 calories per day b. From 2000 to 2500 calories per day c. From 2200 to 2530 calories per day d. From 2500 to 2730 calories per day