A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

Apply ice packs to affected leg.

Keep the client's affected leg elevated while in bed.

Have the client ambulate prior to applying antiembolic stockings.

Massage the client's affected leg twice a day.

Answer and Explanation

The Correct Answer is B

A. Apply ice packs to affected leg: While ice can help reduce swelling and pain in some conditions, it is not typically recommended for deep vein thrombosis (DVT) because it could increase the risk of clot dislodgement.
B. Keep the client's affected leg elevated while in bed: Elevating the leg helps reduce swelling and promotes venous return, which is important in managing DVT.
C. Have the client ambulate prior to applying antiembolic stockings: Ambulation is usually avoided initially in the presence of DVT until anticoagulation therapy is started to reduce the risk of clot dislodgement. Antiembolic stockings should be applied after anticoagulation therapy is initiated.
D. Massage the client's affected leg twice a day: Massaging the affected leg is contraindicated in DVT as it can increase the risk of dislodging the clot, leading to complications such as pulmonary embolism.

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Correct Answer is A

Explanation

A. Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve. This is a classic risk factor for developing carpal tunnel syndrome.
B. Truck drivers may experience some repetitive motion strain, but their primary risk factors are more related to prolonged sitting, poor posture, and vibration exposure rather than specific wrist movements.
C. Elementary school teachers may engage in repetitive activities like writing or grading, but these are less likely to cause carpal tunnel syndrome compared to occupations that involve frequent lifting or fine motor work.
D. Assembly line workers may be at risk for repetitive motion injuries, but the risk for carpal tunnel syndrome is more specific to jobs that require frequent wrist flexion and extension, such as those involving typing or assembly work requiring fine motor skills.

A. Right hemiparesis B. Inability to recognize his family members C. Aphasia D. Difficulty reading

Correct Answer is B

Explanation

A. Right hemiparesis, or weakness on the right side of the body, is typically associated with a stroke involving the left hemisphere of the brain, as the left side of the brain controls motor function on the right side of the body.
B. Inability to recognize family members, or prosopagnosia, is a common result of right hemisphere strokes. The right hemisphere is responsible for spatial awareness and recognition of faces, so damage to this area can impair the ability to recognize familiar people.
C. Aphasia is a language disorder commonly associated with strokes affecting the left hemisphere, particularly the areas responsible for speech production and comprehension, such as Broca's area and Wernicke's area.
D. Difficulty reading, or alexia, is more commonly associated with damage to the left hemisphere, specifically the areas related to language processing, rather than the right hemisphere.

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A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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