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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
To prepare a dose of 6 mg of dexamethasone when you have a vial that contains 4 mg/ml, you need to calculate the volume required to achieve the total prescribed dose. The formula to use is: (Desired Dose) / (Concentration of Vial) = Volume to Administer. Plugging in the values: 6 mg / 4 mg/ml = 1.5 ml.
Correct Answer is C
Explanation
A. Metabolic acidosis would present with a low pH and low HCO3-.
B. Metabolic alkalosis would show elevated HCO3- with a normal or elevated PaCO2.
C. The elevated pH and decreased PaCO2 indicate respiratory alkalosis, likely due to hyperventilation.
D. Respiratory acidosis would involve a low pH and high PaCO2.
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