A nurse is collecting data from a client who is postoperative and has a deep vein thrombosis of the right calf. Which of the following actions should the nurse take?
Apply cool compresses to the right calf.
Place the right leg in a dependent position.
Maintain the client on bed rest.
Decrease the client's fluid intake.
The Correct Answer is C
Choice A reason: Applying cool compresses may provide some relief but is not the primary action to be taken for DVT.
Choice B reason: Placing the leg in a dependent position can increase swelling and pain and is not recommended for DVT.
Choice C reason: Maintaining the client on bed rest is important to prevent the clot from dislodging and causing a pulmonary embolism.
Choice D reason: Decreasing fluid intake is not recommended as adequate hydration can help prevent further clot formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The patient should be positioned leaning forward with arms and head resting supported on a bedside adjustable table. This position allows for the expansion of the intercostal spaces and easier access to the pleural space for fluid removal.
Choice B reason: Elevating the knees is not a recommended position for thoracentesis as it does not facilitate access to the pleural space and may cause discomfort or movement that could complicate the procedure.
Choice C reason: The prone position is not suitable for thoracentesis because it does not allow for proper access to the pleural space and can increase the risk of complications.
Choice D reason: The lithotomy position is used for gynecological, urological, and proctological procedures and is not appropriate for thoracentesis, which requires access to the chest area.
Correct Answer is B
Explanation
Choice A reason: Storing items on the steps can create a tripping hazard, especially for a client recovering from hip arthroplasty.
Choice B reason: Placing electrical cords against the wall helps to reduce the risk of tripping and is a safety measure to prevent falls.
Choice C reason: Throw rugs can be a tripping hazard and should be avoided, especially in areas like the bathroom where the floor can be slippery.
Choice D reason: Pot handles should be turned inward, away from the edge of the stove, to prevent accidental spills and burns.
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