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 A
Explanation
Choice A reason: Swelling and tenderness around a wound are common signs of infection. The body's inflammatory response to the invading bacteria causes these symptoms.
Choice B reason: Serosanguineous drainage, which is composed of both blood and a clear yellow liquid called serum, is typically a normal part of the healing process and not necessarily a sign of infection.
Choice C reason: Bromocriptine is a medication and not a sign of wound infection. This choice seems to be a distractor and does not relate to the clinical signs of a wound infection.
Choice D reason: Urticaria, also known as hives, is a reaction that can be caused by an allergy, stress, or other factors, and is not a direct sign of wound infection.
Correct Answer is B
Explanation
Choice A reason: A pH of 7.39 is near the lower end of the normal range (7.35-7.45) and would not typically indicate respiratory acidosis.
Choice B reason: A pH of 7.31 is below the normal range, indicating an acidic environment, which is consistent with respiratory acidosis.
Choice C reason: A pH of 7.48 is above the normal range, indicating a more alkaline environment, which would suggest respiratory alkalosis, not acidosis.
Choice D reason: A pH of 7.50 is also above the normal range and would indicate alkalosis rather than acidosis.
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