A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

Apply ice packs to affected leg.

Keep the client's affected leg elevated while in bed.

Have the client ambulate prior to applying antiembolic stockings.

Massage the client's affected leg twice a day.

Answer and Explanation

The Correct Answer is B

A. Apply ice packs to affected leg: While ice can help reduce swelling and pain in some conditions, it is not typically recommended for deep vein thrombosis (DVT) because it could increase the risk of clot dislodgement.
B. Keep the client's affected leg elevated while in bed: Elevating the leg helps reduce swelling and promotes venous return, which is important in managing DVT.
C. Have the client ambulate prior to applying antiembolic stockings: Ambulation is usually avoided initially in the presence of DVT until anticoagulation therapy is started to reduce the risk of clot dislodgement. Antiembolic stockings should be applied after anticoagulation therapy is initiated.
D. Massage the client's affected leg twice a day: Massaging the affected leg is contraindicated in DVT as it can increase the risk of dislodging the clot, leading to complications such as pulmonary embolism.

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Correct Answer is D

Explanation

A. Polyphagia (increased hunger) is more commonly associated with conditions like diabetes mellitus, where there is impaired glucose regulation. It is not a typical finding in diabetes insipidus.
B. Bradycardia (slow heart rate) is not a characteristic sign of diabetes insipidus. The condition primarily affects fluid balance, leading to dehydration rather than changes in heart rate.
C. Hyperglycemia is also a hallmark of diabetes mellitus, not diabetes insipidus. Diabetes insipidus is characterized by the inability to concentrate urine, leading to excessive urination and thirst.
D. Dehydration is a common finding in diabetes insipidus. The condition causes excessive urination (polyuria) due to a deficiency of antidiuretic hormone (ADH) or resistance to it, leading to a significant loss of water and subsequent dehydration if fluid intake is not sufficient to compensate.

A. C-reactive protein B. Troponin C. Creatinine kinase (CK) D. Brain natriuretic peptide (BNP)

Correct Answer is B

Explanation

A. C-reactive protein (CRP) is a marker of inflammation and is elevated in various conditions, including infections and inflammatory diseases. While CRP may be elevated in myocardial infarction, it is not specific to MI and is not the first test used to diagnose it.
B. Troponin is the gold standard laboratory test for diagnosing myocardial infarction. It is a protein released from damaged heart muscle cells, and elevated levels indicate myocardial injury. Troponin levels are highly specific to cardiac tissue and remain elevated for several days after an MI.
C. Creatinine kinase (CK) is an enzyme that can be elevated in myocardial infarction, but it is less specific than troponin. CK levels can also rise in other conditions, such as muscle injury, making it a less reliable marker for MI diagnosis.
D. Brain natriuretic peptide (BNP) is primarily used to assess heart failure. While it may be elevated in cases of severe heart failure, it is not specific to myocardial infarction and is not typically used to diagnose an MI.

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A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?

Correct Answer is B

Explanation

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