A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf.

The nurse anticipates which of the following orders when notifying the provider of this finding?

Obtain impedance plethysmography.

Apply cold therapy to the affected leg.

Obtain a venous duplex ultrasound.

Monitor Homan's sign.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Impedance plethysmography is a test that uses electrical signals to measure blood flow and can be used to detect deep vein thrombosis (DVT). However, it is not the first-line diagnostic tool for DVT.
Choice B rationale:
Cold therapy can help reduce inflammation and pain, but it is not a diagnostic measure for DVT.
Choice C rationale:
Venous duplex ultrasound is the most common test used to diagnose DVT. It uses sound waves to create pictures of the blood flowing through the veins in the leg.
Choice D rationale:
Homan’s sign is a physical examination finding that was traditionally used to diagnose DVT, but it is not reliable or specific.

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Correct Answer is A

Explanation

Choice A rationale:
These values indicate metabolic acidosis, which is common in clients with chronic kidney disease. The kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate, leading to a low pH and low bicarbonate levels.
Choice B rationale:
These values indicate alkalosis, not typically associated with chronic kidney disease. The pH is high, indicating a basic or alkaline state, and the bicarbonate level is normal.
Choice C rationale:
These values indicate metabolic alkalosis, which is not typically seen in clients with chronic kidney disease. The pH and bicarbonate levels are both high.
Choice D rationale:
These values indicate respiratory acidosis, not typically associated with chronic kidney disease. The high PaCO2 level indicates that the lungs are not effectively eliminating CO2, leading to acidosis.

A. Apply a cold pack to the client's upper arm. B. Measure the circumference of both upper arms. C. Remove the PICC line. D. Notify the provider who inserted the PICC line.

Correct Answer is B

Explanation

Choice A rationale:
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
Choice B rationale:
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Choice C rationale:
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
Choice D rationale:
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.

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A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf.

The nurse anticipates which of the following orders when notifying the provider of this finding?