A nurse is implementing interventions to prevent a patient from developing Deep Vein Thrombosis (DVT) in the legs by applying a pneumatic or sequential compression device (SCD's). Which explanation would the nurse give the patient in regards to how this device works?
Air pads wrap around your arms and are connected to a vacuum which improves blood flow.
These are elastic stockings that apply pressure to the legs and increase the velocity of blood flow.
SCDs are only worn during amputation to provide support and prevent pooling of blood in the legs.
The device fills with air that applies intermittent or sequential pressure to the legs to enhance blood flow and venous return.
The Correct Answer is D
The correct answer is choice D. The nurse would explain to the patient that SCDs work by filling with air and applying intermittent or sequential pressure to the legs to enhance blood flow and venous return. This can help prevent blood clots, such as DVT, from forming in the legs. SCDs are often used for patients who are immobile, such as those who have undergone surgery or who are hospitalized for a medical condition. The device is comfortable to wear and can be adjusted to fit the patient's size and shape. The nurse would also explain the importance of wearing the device as prescribed, and how to properly use and care for it. By using SCDs as directed, the patient can significantly reduce their risk of developing a potentially life-threatening blood clot.
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Correct Answer is D
Explanation
. Objectively examining one's own bias, beliefs, values, and practices is the best way for nurses to develop an awareness of their own culture and bias. It is important for nurses to recognize that they have their own set of beliefs and values that may influence their perceptions and interactions with patients from different cultural backgrounds. Through selfreflection and self-awareness, nurses can identify their own biases and work towards addressing them. This will help nurses provide culturally competent care and build trusting relationships with their patients. Choices A and B are incorrect because they imply that personal biases cannot be changed, which is not true. Choice C may provide some insight into how other nurses practice cultural diversity, but it does not address the nurse's own personal biases and cultural background.
Correct Answer is A
Explanation
The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
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