A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?

Decreased pedal pulses

Unilateral leg edema

Ecchymosis on the foot and ankle

Coolness of the skin

Answer and Explanation

The Correct Answer is B

Choice A reason: Decreased pedal pulses could indicate a vascular issue but are not specific to DVT.

Choice B reason: Unilateral leg edema, especially when it is sudden, can be a sign of DVT and is the most indicative of the choices provided.

Choice C reason: Ecchymosis, or bruising, on the foot and ankle can be caused by many factors and is not specific to DVT.

Choice D reason: Coolness of the skin can be a sign of poor circulation but is not specific to DVT.

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Correct Answer is B

Explanation

Choice A reason: Discussing pain management is important for patient comfort but does not directly prevent postoperative complications.
Choice B reason: Sequential compression devices are used to prevent deep vein thrombosis, a common postoperative complication, making this the correct answer.
Choice C reason: Reviewing policy with the client and family is part of the overall care but is not specific to preventing postoperative complications.
Choice D reason: Ensuring the operative site has been secured is a procedural task and does not directly prevent postoperative complications.

A. The patient who has advance directives B. The patient's son, who has a durable power of atorney C. The patient's daughter, who is the primary caregiver D. The patient's nurse, who assists with care

Correct Answer is B

Explanation

Choice A reason: Advance directives are instructions given by the patient for future care, not for giving consent for current procedures.

Choice B reason: A durable power of atorney for healthcare allows an individual to make medical decisions on behalf of the patient if they are unable to do so themselves.

Choice C reason: Being the primary caregiver does not automatically grant the legal authority to give consent for medical procedures.

Choice D reason: The nurse's role is to facilitate the consent process, not to give consent on behalf of the patient.

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A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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