A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?
Apply cold compresses.
Massage the area.
Elevate her leg.
Flex her knee while resting.
The Correct Answer is C
A. Applying cold compresses is not indicated for pain and redness of the calf, which may
indicate deep vein thrombosis (DVT). Cold therapy is not recommended as it can worsen the condition.
B. Massaging the area is contraindicated in suspected DVT as it can dislodge a clot and lead to complications such as pulmonary embolism.
C. Elevating her leg helps to reduce swelling and improve venous return, which can alleviate symptoms of DVT and prevent further complications.
D. Flexing her knee while resting is not specifically indicated for the management of suspected DVT and may not address the underlying cause of pain and redness in the calf.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing for respiratory distress is the priority following a cesarean delivery as newborns born via cesarean section are at increased risk for respiratory complications due to potential fluid in the lungs (transient tachypnea of the newborn) or immaturity of lung function.
B. Accidental lacerations are important to assess but are not the priority immediately following a scheduled cesarean delivery.
C. Hypothermia is a concern, but assessing for respiratory distress takes precedence as it can be life-threatening if not promptly addressed.
Correct Answer is C
Explanation
A. Sleeping for long stretches between feedings may indicate inadequate feeding rather than sufficient breast milk intake.
B. Having a wake cycle of 30 to 60 minutes after each feeding is not a reliable indicator of sufficient breast milk intake.
C. Wetting 6 to 8 diapers per day indicates that the baby is adequately hydrated and receiving enough breast milk.
D. Burping after each feeding is important for gas relief but does not directly indicate sufficient breast milk intake.
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