Which of the following is an appropriate nursing action when evaluating a client with thrombosis?
A) Examine the client's mental and emotional status.
B) Examine the extremities and assess skin color, capillary refill time, and tissue integrity.
C) Examine for pain around the shoulder and neck region.
D) Examine the extremities for skin lesions.
B
You might also like to view...
The physician has asked a newly diagnosed cardiac patient to begin taking omega-3 fatty acids to help prevent inflammation and blood clotting. The patient asks the nurse what types of food sources are high in omega-3 fatty acids
The nurse should educate the patient to increase his intake of which of the following items? Select all that apply. A) Salmon B) Walnuts C) Seeds D) Avocados
The nurse needs to change a patient's abdominal wound dressing. Which precautions should be implemented?
1. Standard precautions 2. Contact precautions 3. Droplet precautions 4. Airborne precautions
A nurse counsels a client to have the enzyme-linked immunosorbent assay (EIA) test. Which of the following best describes the rationale for this test?
a. To indicate the presence of the antibody to HIV b. To reveal whether or not the client has AIDS c. To isolate the HIV virus d. To confirm HIV after having a positive Western blot
The nurse caring for a client with meningitis knows that signs and symptoms of meningitis usually appear abruptly. Which of the following are signs of this condition? Select all answers that apply
A) Impaired bladder function B) Photophobia C) Nuchal rigidity D) Loss of sensation E) Change in LOC F) Opisthotonos