A nurse is caring for a client who has deep vein thrombosis (DVT) of their right lower leg. Which of the following manifestations should the nurse expect? (Select All that Apply.)

A. Tachycardia: Elevated T3 and T4 levels with suppressed TSH indicate hyperthyroidism, which increases metabolic rate and sympathetic nervous system activity. This often results in tachycardia due to increased cardiac demand and heightened sensitivity to catecholamines.
B. Decreased body temperature: Hyperthyroidism typically causes increased heat production and heat intolerance. Clients often feel warm or overheated, not cold, so a drop in body temperature would be unexpected.
C. Slow respiratory rate: Increased metabolism usually raises oxygen demand, leading to a normal or increased respiratory rate. A slow respiratory rate is not characteristic of hyperthyroid states.
D. Hypotension: Hyperthyroidism often causes systolic hypertension due to increased cardiac output. While some clients may experience normal blood pressure, persistent hypotension is not a common finding.

A. Frequent handwashing: This is an important strategy to prevent infections, which can trigger a sickle cell crisis. Clients with sickle cell disease are more susceptible to infections due to their compromised immune system, so teaching frequent handwashing can significantly reduce the risk of infection-related complications.
B. Avoiding the annual flu vaccine: Clients with sickle cell disease should not avoid the annual flu vaccine. In fact, the flu vaccine is strongly recommended for individuals with sickle cell disease to prevent influenza, which can increase the risk of complications. Avoiding it would place the client at greater risk for respiratory infections.
C. Taking an iron supplement daily: Sickle cell disease often leads to anemia, but iron supplementation is generally not recommended unless the client has a confirmed iron deficiency. In many cases, iron overload can occur, especially if the client has frequent blood transfusions. It is essential to assess iron levels before recommending supplements.
D. Visiting the eye doctor annually: Clients with sickle cell disease are at an increased risk for eye problems, such as retinopathy. Annual eye exams are crucial to detect early signs of complications and prevent vision loss. Regular monitoring helps maintain overall eye health and provides early intervention if needed.
E. Joining a support group: Sickle cell disease can be emotionally and physically challenging. Joining a support group can provide the client with emotional support, practical coping strategies, and connections with others who have similar experiences. This is an essential aspect of overall well-being in managing the condition.