The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?
Encourage the use of incentive spirometry
report 8/10 incisional pain
Assess popliteal pulses
Early ambulation
The Correct Answer is D
A. This option is primarily aimed at promoting lung expansion and preventing atelectasis (collapse of the lung). While it's an important post-operative intervention, it does not directly reduce the risk of embolic events related to venous thromboembolism.
B. Reporting significant pain (8/10) may indicate complications such as infection or improper healing, but it does not directly relate to reducing the risk of embolic events. While managing pain is important for recovery, simply reporting it does not contribute to preventing VTEs.
C. Assessing popliteal pulses is part of a thorough circulatory assessment, but it mainly focuses on blood flow to the lower extremities rather than preventing embolic events. It can help identify existing DVT but does not actively reduce the risk of embolism.
D. This statement is true and is the best choice for decreasing the risk of an embolic event. Early ambulation promotes venous return, improves circulation, and significantly lowers the risk of DVT and pulmonary embolism in post-operative patients. Encouraging patients to get out of bed and move around as soon as they are stable is a key nursing intervention in post-operative care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clopidogrel is not a pain medication; it is an antiplatelet agent used to reduce the risk of stroke and other cardiovascular events. It should be taken regularly, not on an as-needed basis.
B. Clopidogrel works by inhibiting platelet aggregation, which helps prevent the formation of blood clots that can lead to strokes. This understanding indicates that the client recognizes the purpose of the medication and its importance in managing their condition after a TIA.
C. Clopidogrel is not used to treat anxiety; it is primarily focused on reducing the risk of thrombotic events. This choice shows a misunderstanding of the medication's purpose.
D. Clopidogrel does not directly control blood pressure; it is used to prevent blood clots. While blood pressure management is essential in the context of stroke prevention, clopidogrel itself does not have a role in lowering blood pressure.
Correct Answer is C
Explanation
A. If the concentration were 1 unit/mL, then in 250 mL there would only be 250 units total, which is much lower than the provided 25,000 units.
B. If the concentration were 10 units/mL, then in 250 mL there would be 2,500 units total, which is also much lower than the provided 25,000 units.
C. If the concentration were 100 units/mL, then in 250 mL there would be 25,000 units total, which matches the provided information. However, while this seems plausible, it is not the answer we calculated.
D. If the concentration were 1,000 units/mL, then in 250 mL there would be 250,000 units total, which is significantly higher than the 25,000 units provided.
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