You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client?
A) Examine the client's mental and emotional status.
B) Examine the legs for 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
Feedback:
The nurse examines the extremities and assesses skin color, temperature, capillary refill time, and tissue integrity and not for skin lesions for clients with thrombosis. Examining the client's mental and emotional status or examining for pain around the shoulder and neck region will not assist the nurse in evaluating a client with thrombosis.
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