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.)

Warmth

Erythema

Swelling

Numbness

Bleeding

Answer and Explanation

Correct Answer : A,B,C

A. Warmth: Warmth over the affected area is a typical sign of DVT. It results from localized inflammation and increased blood flow due to the clot obstructing venous return and irritating the vessel wall.
B. Erythema: Erythema, or redness, often occurs in the area where the thrombus is located. It reflects the inflammatory response triggered by the presence of the clot in the vein.
C. Swelling: Swelling in the affected limb is one of the most common signs of DVT. It results from impaired venous return and fluid buildup due to the obstruction caused by the clot.
D. Numbness: Numbness is not typically associated with DVT. While swelling can sometimes compress nearby nerves and cause discomfort, numbness is not a hallmark feature and would warrant evaluation for other potential causes.
E. Bleeding: Bleeding is not a manifestation of DVT itself. DVT involves clot formation within a vein, not bleeding. However, anticoagulant therapy used to treat DVT can increase the risk of bleeding, but that is a side effect of treatment, not a sign of the condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Blood flow is altered and causes blood to pool in the legs. This statement describes venous insufficiency rather than peripheral arterial disease. In peripheral arterial disease, the problem is inadequate arterial blood flow to the extremities, rather than blood pooling.
B. "Blood flow is altered due to atherosclerosis affecting the tissues' ability to receive oxygen-rich blood." Peripheral arterial disease (PAD) is caused by atherosclerosis, where plaque buildup in the arteries restricts blood flow, leading to reduced oxygen delivery to peripheral tissues. This results in symptoms like claudication and delayed wound healing.
C. "Blood flow is altered due to excessive stretching of the ventricles impairing the heart to contract."
This explanation is related to heart failure, particularly dilated cardiomyopathy, and not PAD. PAD specifically affects the peripheral arteries, not the heart's pumping ability.
D. "Blood flow is altered due to incompetent valves causing increased venous pressure."
This statement reflects the pathophysiology of chronic venous insufficiency, not PAD. In PAD, the issue lies in narrowed or blocked arteries, not valve function in veins.

A. "Distributive shock occurs due to loss of myocardial contractility." B. "Distributive shock occurs due to systemic vasodilation." C. "Distributive shock occurs due to loss of blood volume." D. "Distributive shock occurs due to increased systemic vascular resistance."

Correct Answer is B

Explanation

A. Distributive shock occurs due to loss of myocardial contractility: Loss of myocardial contractility is more associated with cardiogenic shock, not distributive shock. Distributive shock occurs due to vasodilation, which leads to inadequate perfusion despite normal heart function.
B. Distributive shock occurs due to systemic vasodilation: Distributive shock is characterized by widespread vasodilation, often resulting from conditions such as sepsis, anaphylaxis, or neurogenic shock. This vasodilation leads to a decrease in vascular resistance, causing poor blood flow and oxygen delivery to tissues.
C. Distributive shock occurs due to loss of blood volume: Loss of blood volume is characteristic of hypovolemic shock, not distributive shock. In hypovolemic shock, blood volume is reduced, whereas in distributive shock, the issue lies in vascular tone and vasodilation.
D. Distributive shock occurs due to increased systemic vascular resistance: In distributive shock, systemic vascular resistance decreases due to vasodilation, not increases. The decrease in vascular tone is what leads to the impaired tissue perfusion seen in this form of shock.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has peripheral arterial disease. Which of the following statements should the nurse include in the teaching to explain peripheral arterial disease?

Correct Answer is B

Explanation

A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

Correct Answer is B

Explanation

A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

A nurse is teaching a client who has dilated cardiomyopathy (DCM) about this condition. Which of the following statements by the nurse should be included in the teaching?

A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?

A nurse is preparing to discharge a client who was treated for sexual assault. Prior to discharge, which of the following actions should the nurse plan to take?

A nurse is caring for a client who has a cerebral aneurysm. In the event of a ruptured cerebral aneurysm, which of the following manifestations would be present in the client? (Select all that Apply.)

A nurse is analyzing test results for a client who has a pulmonary embolism. The nurse should identify that which of the following findings indicates a moderate to large pulmonary embolism and the possibility of death?

Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching? (Select All that Apply.)