A nurse is providing teaching to a patient who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
"I will keep my legs crossed while sitting."
"I should limit the time that I spend sitting in a chair."
"I will perform leg exercises once every 4 hours while I am awake."
"I should massage my legs when they hurt."
The Correct Answer is B
Choice A Reason:
"I will keep my legs crossed while sitting." Crossing the legs can impede blood flow and increase the risk of thrombus formation.
Choice B Reason
"I should limit the time that I spend sitting in a chair." Limiting prolonged periods of sitting is a key strategy for reducing the risk of thrombus formation. It helps improve blood circulation and prevents stasis of blood in the lower extremities.
Choice C Reason:
"I will perform leg exercises once every 4 hours while I am awake." Leg exercises can be beneficial for improving blood circulation, but it's important to do them more frequently, such as every hour, especially if the client is at risk for thrombus formation.
Choice D Reason:
"I should massage my legs when they hurt." Massaging the legs when they hurt may not be recommended without guidance from a healthcare provider. It's essential to address the root causes of pain, such as prolonged sitting, and focus on preventive measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Pouring the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl is a correct action, but it doesn't address maintaining sterility.
Choice B Reason:
Applying sterile gloves before opening the bottle of sterile solution is generally recommended to maintain sterility but is not specific to the action of holding the bottle.
Choice C Reason:
Placing the lid of the sterile solution bottle face down on the sterile drape is not recommended because the inside of the lid is sterile, and placing it face down could result in contamination when removed.
Choice D Reason:
Hold the bottle of sterile solution so that the label is facing the palm of the hand. This ensures that the label, which is a non-sterile part of the bottle, faces inward and away from the sterile field, reducing the risk of contamination. Keeping the label facing the palm helps maintain sterility.
Correct Answer is D
Explanation
Choice A Reason:
"SS" for sliding scale: "SS" can be confusing as it may be misinterpreted as "sliding scale" or "sugar solution," which could lead to errors in documentation.
Choice B Reason:
"BRP" for bathroom privileges: This abbreviation is not commonly used in medical documentation. It's better to write out "bathroom privileges" to avoid potential confusion.
Choice C Reason:
"OJ" for orange juice: While "OJ" is commonly used in casual language for orange juice, it is not typically used in formal medical documentation. It's better to write out "orange juice" for clarity.
Choice D Reason:
"SQ" for subcutaneous. Subcutaneous is a common route of medication administration, and "SQ" is a widely recognized and accepted abbreviation for subcutaneous injections.
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