A nurse is caring for a patient who is 7 days postpartum and calls the clinic to report pain and redness in her left calf. Besides seeing her provider, which interventions should the nurse suggest?
Flex her knee while resting.
Apply cold compresses.
Massage the area.
Elevate her leg.
The Correct Answer is D
Choice A rationale
Flexing the knee while resting does not typically alleviate the symptoms of a possible DVT15161718.
Choice B rationale
Applying cold compresses is not typically recommended for the symptoms of a possible DVT15161718.
Choice C rationale
Massaging the area is not recommended, especially if the patient is showing signs of a possible DVT, as it could dislodge a clot.
Choice D rationale
Elevating the leg can help reduce swelling and improve blood flow, which can help alleviate pain associated with a possible DVT15161718.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering oxytocin infusion is usually done to stimulate uterine contractions and prevent postpartum hemorrhage. However, it’s not the first action to take when the client’s blood pressure is low.
Choice B rationale
Evaluating the firmness of the uterus is crucial in this situation. A soft or “boggy” uterus could indicate uterine atony, a condition that can lead to serious postpartum hemorrhage. This could be the cause of the client’s low blood pressure.
Choice C rationale
Initiating oxygen therapy by non-rebreather mask can help increase the client’s oxygen saturation levels, but it doesn’t address the underlying cause of the low blood pressure.
Choice D rationale
Obtaining a type and crossmatch is important if the client needs a blood transfusion. However, it’s not the first action to take. The nurse should first assess for possible causes of the low blood pressure.
Correct Answer is A
Explanation
Choice A rationale
Elevated blood pressure is a key sign of preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, often the liver and kidneys.
Choice B rationale
Increased urine output is not typically associated with preeclampsia. In fact, decreased urine output may be a sign of kidney problems associated with severe preeclampsia.
Choice C rationale
Vaginal discharge is common during pregnancy and is not typically associated with preeclampsia.
Choice D rationale
Joint pain is not typically associated with preeclampsia.
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