A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?
Decreased pedal pulses
Unilateral leg edema
Ecchymosis on the foot and ankle
Coolness of the skin
The Correct Answer is B
Choice A reason: Decreased pedal pulses could indicate a vascular issue but are not specific to DVT.
Choice B reason: Unilateral leg edema, especially when it is sudden, can be a sign of DVT and is the most indicative of the choices provided.
Choice C reason: Ecchymosis, or bruising, on the foot and ankle can be caused by many factors and is not specific to DVT.
Choice D reason: Coolness of the skin can be a sign of poor circulation but is not specific to DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Increased length of stay is not a direct outcome of preoperative teaching and depends on many factors.
Choice B reason: Reduced postoperative respiratory function can be a concern, and preoperative teaching aims to mitigate this risk by educating on breathing exercises and mobilization.
Choice C reason: Preoperative teaching should help manage expectations and pain control strategies, not increase postoperative pain.
Choice D reason: Preoperative teaching should aim to reduce anxiety by providing information and reassurance, not induce it.
Correct Answer is A
Explanation
Choice A reason: Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate, which is a base, leading to a relative increase in acidity.
Choice B reason: Salicylate intoxication can initially cause respiratory alkalosis due to hyperventilation, but may later lead to metabolic acidosis as the body compensates.
Choice C reason: Vomiting typically leads to a loss of gastric acid, which would cause metabolic alkalosis, not acidosis.
Choice D reason: Hyperventilation is more commonly associated with respiratory alkalosis due to the excessive loss of CO2, which is an acid, not metabolic acidosis.
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