A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT).

Which of the following findings should the nurse identify as a risk factor for developing DVTS?

Oral contraceptive use.

Cirrhosis.

Hypertension.

NSAID use.

Answer and Explanation

The Correct Answer is A

Oral contraceptive use is a risk factor for the development of DVTs.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.

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Correct Answer is A

Explanation

This statement indicates an understanding of the teaching because cool, clammy skin is a common symptom of hypoglycemia.
Choice B is incorrect because acetone breath is a symptom of hyperglycemia (high blood sugar), not hypoglycemia (low blood sugar).
Choice C is incorrect because Kussmaul respirations (deep and labored breathing) are a symptom of hyperglycemia, not hypoglycemia.
Choice D is incorrect because increased urine output is a symptom of hyperglycemia, not hypoglycemia.

A. The client's capillary refill in the left toe is 6 seconds. B. The client reports a pain level of 7 on a scale from 0 to 10 at the operative site. C. The client has an oral temperature of 38.3° C (100.9° F). D. The client has 100 mL of blood in the closed-suction drain.

Correct Answer is A

Explanation

“The client’s capillary refill in the left toe is 6 seconds.” Capillary refill time is the time it takes for blood to return to the capillaries after pressure has been applied to the skin.

A normal capillary refill time is less than 2 seconds.
A capillary refill time of 6 seconds indicates poor blood flow to the left toe and requires immediate intervention by the nurse.
Choice B is not the correct answer because while a pain level of 7 on a scale from 0 to 10 at the operative site is concerning, it does not require immediate intervention by the nurse.
Choice C is not the correct answer because an oral temperature of 38.3° C (100.9° F) is only slightly elevated and does not require immediate intervention by the nurse.
Choice D is not the correct answer because while 100 mL of blood in a closed-suction drain may be concerning, it does not necessarily require immediate intervention by the nurse.

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A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTS?

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A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT).

Which of the following findings should the nurse identify as a risk factor for developing DVTS?