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. "I can decrease my risk for a stroke by losing excess weight.": Excess weight is a modifiable risk factor for stroke, and losing weight can improve glycemic control, blood pressure, and cholesterol levels, reducing stroke risk.
B. "My risk for a stroke increases if my HbA1c level is 5 percent or less.": An HbA1c level of 5% is excellent and indicates good glycemic control, which reduces stroke risk.
C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke.": A cholesterol level below 200 mg/dL is desirable and lowers the risk of cardiovascular events, including stroke.
D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke.": Glucocorticoids are not used to reduce stroke risk; they can actually increase blood sugar and cardiovascular risk if used long-term.

A. Open the splint B. Place the client on NPO status C. Place the client's right leg in a dependent position D. Obtain a urinalysis

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Open the splint: Reduces pressure and alleviates compartment syndrome.

Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).

Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.

Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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