The nurse is developing a plan of care for a client who will be admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis (DVT) of the right leg. What should be included in the client's care plan?

Administer an opioid analgesic every 4 hours around the clock.

Frequently measure the client's calf circumference and compare the client's baseline measurement.

Apply cool packs to the affected leg for 20 minutes every 4 hours.

Maintain the affected leg in a dependent position.

Answer and Explanation

The Correct Answer is B

A. Opioid analgesics may be necessary for pain but are not the priority in DVT management.

B. Measuring calf circumference regularly helps monitor for swelling or worsening of the DVT.

C. Cool packs are not recommended for DVT; warm compresses may be used for comfort, but anticoagulation therapy is the main treatment.

D. The affected leg should be elevated, not kept in a dependent position, to promote venous return and reduce swelling.

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Correct Answer is A

Explanation

A. This is the correct response because it educates the client on the fact that many sore throats are viral in origin and antibiotics, which treat bacterial infections, would not be effective in such cases. Overuse of antibiotics can also contribute to antibiotic resistance.

B. Asking the client to bring the bottle of antibiotics does not address the misuse of the medication.

C. This statement is incorrect as streptococcal infections often involve fever.

D. A throat culture would help confirm the cause of the sore throat, and antibiotics should not be taken without proper diagnosis.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Drowsiness can indicate worsening head trauma or other neurological issues, especially following a head injury. Increased drowsiness could be a subtle sign of a more serious condition such as a concussion or even intracranial bleeding. It is critical to assess and manage this symptom first.

After addressing the potential neurological concern, the nurse should then manage the right shoulder pain, which is significant but less immediately life-threatening than the possible neurological changes.

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The nurse is developing a plan of care for a client who will be admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis (DVT) of the right leg. What should be included in the client's care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting a medical history on a 34-year old client. The client reports: "I take oral antibiotics whenever she gets a sore throat, because she cannot afford to lose any time at work". What is the nurse's best response?

Correct Answer is A

Explanation

A nurse is caring for a 24-year-old client who reports a recent fall, hitting their head and right shoulder. Exhibits Complete the sentence by using the list of options. The nurse should first address the client's followed by the client's .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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