A nurse is caring for a client who had a stroke.
Complete the following sentence using the lists of options.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
The client is at risk for developing deep vein thrombosis (DVT) due to their immobility.
Rationale:
-
Swelling and tenderness in the calf are key signs of DVT, which is a common complication of immobility after a stroke.
- Immobility leads to venous stasis, increasing the risk of clot formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "The food is not great, but it is nice not having to do all of my own cooking." This statement shows acceptance by acknowledging both the challenges and benefits of the transition.
B. "When I go out, I've been using public transportation since I can't drive anymore." This reflects adaptation to the changes by finding alternative transportation.
C. "I don't want to go to the activity room because none of the other residents can hear." This suggests social withdrawal and frustration, which may indicate difficulty accepting the transition to assisted living.
D. "The staff sometimes have to remind me to use a cane when I walk in the hall." This shows acceptance of help from staff, which suggests an adjustment to the new environment rather than resistance.
Correct Answer is C
Explanation
A. A fire extinguisher is kept in the kitchen This is a safe and recommended practice, as the kitchen is a common area where fires may occur.
B. An electrical ground plug is present Ground plugs help prevent electrical shock and ensure safety, so no intervention is needed.
C. The client's oxygen tanks are stored on their side Oxygen tanks should always be stored upright and secured to prevent leaks or potential combustion. Storing them on their side increases the risk of damage to the tank or regulator, which can be hazardous.
D. The client's walking cane has a rubber tip A rubber tip provides stability and prevents slipping, making it a safe practice.
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