A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

Instruct the client to limit walking episodes.

Tell the client that this is normal during pregnancy.

Gather further assessment data

Instruct the client to elevate the legs consistently throughout the day.

Answer and Explanation

The Correct Answer is C

A. Limiting walking episodes may reduce discomfort but does not address the underlying issue or potential complications.

B. While leg cramps can be common during pregnancy, calf pain could also indicate a more serious condition, such as deep vein thrombosis (DVT), and should not be dismissed as normal without further investigation.

C. Gathering further assessment data is crucial to determine the cause of the calf pain, as it may indicate DVT, a potentially life-threatening condition. The nurse should assess for other symptoms like swelling, redness, or warmth in the leg.

D. Instructing the client to elevate the legs may be appropriate for general discomfort, but without proper assessment, it may not be the correct intervention if DVT is present.

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Correct Answer is C

Explanation

A. Discomfort at the puncture site is expected after a thoracentesis and typically managed with analgesics.

B. A decreased temperature is not a common complication of thoracentesis and might indicate other issues, but it is not immediately alarming.

C. An increased heart rate (tachycardia) could be a sign of a pneumothorax, hemorrhage, or other serious complications following thoracentesis. This requires immediate assessment and intervention.

D. Serosanguineous drainage is expected to some extent, but it should be monitored for changes that might indicate a complication such as infection or continued bleeding.

A. Provide assistance to bathroom. B. Increase fluids. C. Perform a bladder scan. D. Insert a straight catheter.

Correct Answer is C

Explanation

A. Assisting the client to the bathroom might be helpful, but it is not the first action the nurse should take since the client hasn't voided for an extended period.

B. Increasing fluids may be beneficial but does not address the immediate concern of whether there is a problem with urinary retention.

C. Performing a bladder scan is the first action to determine if there is urine retention in the bladder. This information is crucial before deciding on further interventions, such as catheterization.

D. Inserting a straight catheter may be necessary if significant urinary retention is confirmed, but it should not be the first action without knowing the bladder's status.

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A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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