A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?
Massage the area.
Apply cold compresses
Flex the knee while resting
Elevate the leg
The Correct Answer is D
Choice A rationale:
Massaging the area is not recommended because the client's symptoms could indicate a possible deep vein thrombosis (DVT), and massaging could dislodge a clot and cause harm.
Choice B rationale:
Applying cold compresses is not recommended if DVT is suspected, as it could potentially worsen the condition.
Choice C rationale:
Flexing the knee while resting is not recommended if DVT is suspected, as it could potentially worsen the condition and increase the risk of a clot traveling to the lungs (pulmonary embolism).
Choice D rationale:
Elevating the leg can help reduce swelling and improve blood flow. However, the client should still see the provider for further evaluation of possible DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Feeding a formula every 2 hours is not recommended and may lead to overfeeding. Newborns generally feed on demand, and the frequency of feeding can vary.
Choice B rationale: Breastfed newborns may have more frequent bowel movements, sometimes after each feeding. Two to three stools per day would be on the lower side of the normal range for breastfed infants.
Choice C rationale: Breastfeeding newborns typically need to feed frequently to establish a good milk supply and ensure adequate nutrition. Newborns often feed about 8 to 12 times in a 24-hour period, which translates to approximately five to seven times during the day and night.
Choice D rationale: Formula-fed newborns typically have more regular bowel movements compared to breastfed babies. Expecting only one stool every three days in a formula-fed newborn could indicate constipation, and it is not the expected norm.
Correct Answer is B
Explanation
The correct answer is Choice B, the nipple line.
Choice A rationale: The axillae, or underarms, are not used to measure chest circumference in a newborn. This area does not provide an accurate or consistent measurement of chest size due to the positioning and movement of the baby’s arms.
Choice B rationale: The nipple line is the correct anatomical landmark to use when measuring chest circumference in a newborn. This line is typically used because it provides a consistent and accurate measurement. It is located at the level of the nipples, which is approximately at the mid-chest level. This location allows for a measurement that is representative of the chest size, as it is at the broadest part of the chest.
Choice C rationale: The lower ribcage border is not the correct landmark for measuring chest circumference in a newborn. This area is too low and would not provide an accurate representation of the chest size. The measurement taken at this location would be smaller than the actual chest size, as it is below the broadest part of the chest.
Choice D rationale: The sternal notch is not an appropriate landmark for measuring chest circumference in a newborn. The sternal notch is located at the top of the sternum, near the base of the neck. A measurement taken at this location would not accurately represent the size of the chest, as it is above the broadest part of the chest.
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