A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep- vein thrombosis?

Muscle spasms

Absent pedal pulse

Numbness of the affected extremity

Warmth of the affected extremity

Answer and Explanation

The Correct Answer is D

A. Muscle spasms: These are not typically associated with DVT.
B. Absent pedal pulse: This suggests arterial occlusion, not venous thrombosis.
C. Numbness of the affected extremity: Numbness is not a classic sign of DVT and might indicate a nerve-related issue.
D. Warmth of the affected extremity. Warmth is a hallmark sign of DVT due to localized inflammation and impaired venous circulation.

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Correct Answer is A

Explanation

A. Ginkgo biloba: Ginkgo biloba increases the risk of bleeding when taken with anticoagulants like enoxaparin, as it inhibits platelet aggregation.
B. Flaxseed powder: While flaxseed may have mild anticoagulant properties, it is less likely to pose a significant risk compared to ginkgo biloba.
C. Probiotics: Probiotics do not interact with anticoagulants or increase bleeding risk.
D. Echinacea: Echinacea is primarily used to boost immunity and does not increase bleeding risk.

A. The client has inspiratory stridor B. The client reports a sore throat. C. The client's sputum has streaks of blood. D. The client's temperature is 38.6" C/101.4 F

Correct Answer is A

Explanation

A. The client has an inspiratory stridor. Inspiratory stridor indicates airway obstruction or laryngeal edema, a potentially life-threatening complication following a bronchoscopy that requires immediate intervention.
B. The client reports a sore throat: A sore throat is common after bronchoscopy due to irritation from the scope. This does not require reporting.
C. The client’s sputum has streaks of blood: Small amounts of blood in sputum are expected due to minor mucosal trauma.
D. The client’s temperature is 38.6°C (101.4°F): Mild fever can occur post-procedure due to inflammation but should only be reported if it persists or other infection signs develop.

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A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep- vein thrombosis?

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A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep- vein thrombosis?