A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?

Cool skin

Numbness

Edema

Pallor

Answer and Explanation

The Correct Answer is C

A. Cool skin: Cool skin is not typically associated with thrombophlebitis. It is more common with arterial issues rather than venous problems.

B. Numbness: Numbness is generally a sign of nerve involvement or arterial occlusion, not a classic finding of thrombophlebitis, which primarily affects veins.

C. Edema: Edema is a common finding with thrombophlebitis due to venous inflammation and obstruction of blood flow, which leads to fluid accumulation in the affected limb.

D. Pallor: Pallor is more commonly associated with arterial insufficiency rather than venous issues like thrombophlebitis. Thrombophlebitis often presents with redness and warmth instead of pallor.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Assist with ordered exercise as needed: Mobility and exercises such as ankle pumps help promote circulation and prevent venous stasis, reducing the risk of DVT.

B. Encourage fluids: Encouraging fluids helps prevent dehydration, which reduces blood viscosity and lowers the risk of clot formation.

C. Measure affected limb circumference: Measuring limb circumference is important for detecting early signs of DVT, such as swelling in the affected limb.

D. Massage calves and thighs: Massaging the legs is contraindicated in clients at risk for DVT as it can dislodge a clot, leading to a pulmonary embolism.

E. Apply compression stockings: Compression stockings promote venous return and reduce the risk of blood pooling in the lower extremities, thus preventing DVT.

A. The stockings prevent venous stasis. B. The stockings prevent varicose veins. C. The stockings replace the need for postoperative leg exercises. D. The stockings are used to reduce pain.

Correct Answer is A

Explanation

A. The stockings prevent venous stasis. Antiembolism stockings help prevent venous stasis by promoting venous return from the legs to the heart, which helps reduce the risk of deep vein thrombosis (DVT).

B. The stockings prevent varicose veins. Antiembolism stockings are not specifically used to prevent varicose veins. They are primarily used to prevent blood clots and improve circulation after surgery.

C. The stockings replace the need for postoperative leg exercises. Antiembolism stockings do not replace the need for leg exercises. Movement and exercise are still necessary to promote circulation and prevent DVT.

D. The stockings are used to reduce pain. Antiembolism stockings are not designed to reduce pain. Their main purpose is to prevent blood clots and improve circulation.

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A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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