A nurse is collecting data from a client who is 24 hr postoperative following a total knee arthroplasty. Which of the following findings on the operative leg should the nurse identify as a manifestation of a deep-vein thrombosis?

Increase in calf size

Capillary refill of 2 seconds

Palpable cord-like vein

Extremity feels cool to the touch

Answer and Explanation

The Correct Answer is C

A.   An increase in calf size can be a sign of deep-vein thrombosis (DVT), but it is not specific to
DVT and can occur with other conditions such as edema.
B.   Capillary refill of 2 seconds is within the expected range and is not indicative of DVT.
C.   A palpable cord-like vein is a classic sign of DVT and should be further assessed and reported for appropriate intervention.
D.   An extremity feeling cool to the touch can be a sign of impaired circulation but is not specific to DVT and can occur with other vascular conditions.

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Correct Answer is A

Explanation

A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

A. Potassium B. WBC count C. Iron D. Amylase

Correct Answer is A

Explanation

A. Correct. Furosemide is a loop diuretic that can cause potassium loss through increased urine output. Monitoring potassium levels is essential to prevent hypokalemia, which can lead to cardiac dysrhythmias and other complications.
B. Incorrect. Monitoring the white blood cell (WBC) count is not typically necessary for patients receiving furosemide unless there are specific indications or concerns.
C. Incorrect. Furosemide does not typically affect iron levels, so monitoring iron levels is not necessary in this context.
D. Incorrect. Monitoring amylase levels is not typically indicated for patients receiving furosemide unless there are specific concerns related to pancreatic function.

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A nurse is collecting data from a client who is 24 hr postoperative following a total knee arthroplasty. Which of the following findings on the operative leg should the nurse identify as a manifestation of a deep-vein thrombosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with the parent of an infant who is receiving furosemide. The nurse should reinforce with the parent that which of the following laboratory tests will be monitored while the infant is receiving this medication?

Correct Answer is A

Explanation

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