A nurse is providing teaching to a client who is at risk for thrombus formation.

Which of the following statements made by the client indicates an understanding of the teaching?

"I will keep my legs crossed while sitting."

"I will perform leg exercises once every 4 hours while I am awake."

"I should limit the time that I spend sitting in a chair."

"I should massage my legs when they hurt.".

Answer and Explanation

The Correct Answer is C

“I should limit the time that I spend sitting in a chair.” This is important because sitting for long periods of time can increase the risk of thrombus formation.
Choice A is wrong because crossing the legs while sitting can impede blood flow and increase the risk of thrombus formation.
Choice B is wrong because leg exercises should be performed more frequently than once every 4 hours while awake.
Choice D is wrong because massaging the legs when they hurt can dislodge a thrombus and cause it to travel to other parts of the body.

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Correct Answer is D

Explanation

This is important to prevent urine from flowing back into the bladder, which can cause infection 1.

Choice A is incorrect because the catheter should be secured to the outer side of the thigh, not taped to the lower abdomen 2.
Choice B is incorrect because attaching the drainage bag to the side rails of the bed can cause it to be above the level of the bladder.
Choice C is incorrect because it is important to empty the drainage bag regularly, not just when it is three-quarters full.

A. The client's skin on the lower back is intact without redness. B. The client states that he is able to concentrate while reading. C. The client's vital signs are within the expected reference range. D. The client is laughing at a television show.

Correct Answer is A

Explanation

This indicates that the compress has been effective in relieving lower back pain and has not caused any skin irritation or damage.
Choice B is wrong because the ability to concentrate while reading is not directly related to the effectiveness of a warm, moist compress for relieving lower back pain.
Choice C is wrong because vital signs being within the expected reference range does not necessarily indicate that the compress has been effective in relieving lower back pain.
Choice D is wrong because laughing at a television show does not necessarily indicate that the compress has been effective in relieving lower back pain.

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A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?

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A nurse is providing teaching to a client who is at risk for thrombus formation.

Which of the following statements made by the client indicates an understanding of the teaching?