A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?

A. Measure and record the client's leg circumferences daily. This is correct because measuring leg circumference helps assess for changes in swelling and monitor the progression or improvement of deep-vein thrombosis.
B. Place the client with their knees in a sharply flexed position. This is incorrect because sharply flexing the knees can impede blood flow and increase the risk of clot formation. The client should be encouraged to keep their legs extended and slightly elevated.
C. Monitor the client's RBCs every 4 hr. This is incorrect because deep-vein thrombosis does not typically require frequent RBC monitoring. Instead, coagulation studies such as PT, aPTT, and INR are more relevant.
D. Administer warfarin PO daily. This is incorrect because warfarin is contraindicated during pregnancy due to its teratogenic effects. Instead, low-molecular-weight heparin or unfractionated heparin is the preferred anticoagulant during pregnancy.

A. A child with cystic fibrosis and difficulty clearing secretions is the priority because airway clearance is critical in cystic fibrosis. Mucus buildup can lead to respiratory distress and infection, requiring immediate intervention.
B. A child with an atrial septal defect and a heart rate of 120/min is not the priority because a heart rate of 120/min is within the expected range for a 3-year-old and does not indicate immediate distress.
C. A child with type 1 diabetes and a blood sugar of 150 mg/dL is not the priority because this blood glucose level is slightly elevated but not critical.
D. A child with diarrhea and abdominal pain requires assessment, but dehydration or electrolyte imbalance develops over time. Airway issues take priority over gastrointestinal symptoms.