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A nurse is assessing a 24-year-old female client.

Exhibits

 

Drag words from the choices below to fill in each blank in the following sentence

The client is exhibiting clinical manifestations of

and a .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Deep venous thrombosis (DVT): The client presents with right calf pain, swelling, warmth, discoloration, and tenderness, which are classic signs of DVT. The use of combined hormonal oral contraceptives increases the risk of venous thromboembolism.

Pulmonary embolism (PE): The client reports sudden shortness of breath and has a D-dimer of 1.0 mcg/mL (elevated, normal <0.4 mcg/mL), which suggests a high likelihood of PE.

Vital signs: The client's tachycardia (HR 122/min) and tachypnea (RR 24/min) further support the suspicion of PE.

Incorrect Choices:

Peripheral arterial disease (PAD) – PAD presents with intermittent claudication, cool extremities, and diminished pulses, not warmth, swelling, and tenderness.

Cellulitis – Although cellulitis can cause swelling, warmth, and discoloration, it is usually associated with fever and skin infection signs, which are absent here.


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Related Questions

Correct Answer is B

Explanation

A. Cool skin temperature: Chronic venous insufficiency usually causes warm skin due to venous congestion. Cool skin is more indicative of arterial insufficiency.

B. Bronze/brown discoloration of the skin: Chronic venous insufficiency leads to venous stasis, causing iron deposits in the skin, resulting in hyperpigmentation (brown discoloration).

C. Decreased pedal pulses: Venous insufficiency does not affect pulses. Decreased pulses are more characteristic of arterial disease.

D. Intermittent claudication: This is a symptom of arterial insufficiency, not venous insufficiency.

Correct Answer is D

Explanation

A. Sinus bradycardia – HR < 60 bpm.

B. Ventricular tachycardia – Would have wide QRS complexes and no visible P waves.

C. Normal sinus rhythm – HR should be 60-100 bpm, so this is slightly elevated.

D. Heart rate of 102 bpm – Tachycardia (>100 bpm). Regular rhythm, P waves present, PR interval 0.20 sec, QRS 0.10 sec – Normal sinus conduction.

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