When conducting a nursing assessment of the peripheral vascular system, the nurse is alert for the presence of Virchow's triad, which includes pooling of blood, a coagulation problem, and:
a. edema c. hypertension
b. shortness of breath d. vessel trauma
A
Virchow's triad are the three factors leading to the formation of a clot and include the pooling of blood, a coagulation problem, and the presence of edema.
You might also like to view...
In a client's sixth month of pregnancy, she reports feeling "dizzy and like I'm going to pass out when I lie down flat on my back." The nurse explains the reason for this complaint as due to:
A) pressure of the gravid uterus on the vena cava B) a 50% increase in blood volume C) a pseudoanemia caused by hemoglobin increase D) the pressure of the presenting fetal part on the diaphragm
A premature newborn is being treated for respiratory distress syndrome. The nurse teaches the parents about what adverse effect that can occur with the use of lung surfactants?
A) Kidney dysfunction B) Cardiac arrhythmias C) High fever D) Collapsed lung
People are living longer and with older age comes a higher risk of terminal illness
Many individuals have chosen to maximize their quality of life but stop aggressive life-sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role? a. Hospice b. Infection control c. Coordinator d. Case manager
The nurse understands that the client with untreated diabetes insipidus
a. experiences weight gain. c. develops severe hyponatremia. b. exhibits excessive salivation. d. excretes large volumes of urine.