(1 point). Listen.
Which assessment findings are typical of deep vein thrombosis (DVT) in the lower leg?
Pain and edema in the affected limb.
Muscle paralysis and paresthesia.
Reduced pulses in the foot.
Skin pallor in the area of the thrombosis.
The Correct Answer is A
Choice A rationale:
Pain and edema in the affected limb are typical assessment findings of deep vein thrombosis (DVT) in the lower leg. This is due to the obstruction of blood flow by the thrombus, which leads to swelling and discomfort in the affected limb.
Choice B rationale:
Muscle paralysis and paresthesia are not typical assessment findings of DVT in the lower leg. DVT is more commonly associated with pain and swelling, rather than muscle paralysis or paresthesia.
Choice C rationale:
Reduced pulses in the foot may occur in severe cases of DVT, but it is not one of the primary and typical assessment findings. Pain and edema are more common and reliable indicators of DVT.
Choice D rationale:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Mitogens like angiotensin II and growth factors stimulate smooth muscle proliferation. Mitogens are substances that promote cell division and growth. Angiotensin II, for example, is known to stimulate smooth muscle cell proliferation, which can lead to conditions like vascular remodeling and hypertension.
Choice B rationale:
Endothelial injury is not directly stimulated by mitogens. Mitogens are more associated with cell growth and proliferation rather than causing injury to endothelial cells.
Choice C rationale:
Mitogens are not typically associated with cardiac muscle toxicity. Cardiac muscle toxicity can result from various factors like certain medications or diseases, but mitogens are not the primary cause of cardiac muscle toxicity.
Choice D rationale:
Mitogens are not directly related to the activation of phagocytes. Phagocytes are white blood cells involved in the immune response, and their activation is more related to infection or inflammation rather than mitogenic stimulation. Moving on to the last question.
Correct Answer is E
Explanation
Choice A rationale:
The statement in Choice A does not indicate that the nurse needs more teaching about complications of sustained hypertension. It is a correct statement as it introduces the topic of complications related to hypertension.
Choice B rationale:
Choice B is not the answer. Retinal damage is a well-known complication of sustained hypertension. It can lead to conditions like hypertensive retinopathy, which is a common complication associated with high blood pressure. Therefore, this statement is accurate.
Choice C rationale:
Choice C is not the answer. Stroke is indeed a complication of sustained hypertension. High blood pressure can damage blood vessels and increase the risk of blood clots, leading to strokes. Therefore, this statement is correct.
Choice D rationale:
Choice D is not the answer. Renal disease is also a known complication of sustained hypertension. Hypertension can damage the blood vessels in the kidneys, leading to kidney problems. So, this statement is accurate.
Choice E rationale:
The correct answer is choice E. The statement in Choice E indicates that the nurse needs more teaching about complications of sustained hypertension. Anemia is not typically a complication of hypertension. Hypertension primarily affects the cardiovascular system, leading to issues like stroke, heart disease, and kidney problems. Anemia is more commonly associated with conditions like iron deficiency, chronic kidney disease, or bone marrow disorders. Therefore, the nurse should be educated that anemia is not a typical complication of sustained hypertension.
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