A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Ambulating soon after surgery.
Massaging her legs.
Flexing her ankles.
Elevating her feet.
The Correct Answer is B
Choice A rationale:
Ambulating soon after surgery is actually encouraged as it promotes blood flow and reduces the risk of VTE.
Choice B rationale:
Massaging the legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Flexing the ankles promotes blood flow and reduces the risk of VTE.
Choice D rationale:
Elevating the feet can reduce swelling and promote venous return, reducing the risk of VTE.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Trimming the nails at the lateral corners can lead to ingrown toenails, which can cause pain and infection.
Choice B rationale:
Cleaning under the nail with an orange stick can cause injury to the nail bed and lead to infection.
Choice C rationale:
Filing the nails in a rounded shape can prevent injury and is the recommended method for nail care.
Choice D rationale:
Pushing the cuticles back with a metal nail file can cause injury and infection.
Correct Answer is ["D","E"]
Explanation
Choice A rationale:
Polydipsia, or excessive thirst, is a symptom of hyperglycemia, not hypoglycemia.
Choice B rationale:
Polyuria, or frequent urination, is also a symptom of hyperglycemia, not hypoglycemia.
Choice C rationale:
Blurred vision can be a symptom of both hyperglycemia and hypoglycemia, but it’s more commonly associated with hyperglycemia.
Choice D rationale:
Moist, clammy skin is a symptom of hypoglycemia.
Choice E rationale:
Tachycardia, or a fast heartbeat, is a symptom of hypoglycemia.
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