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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Injecting insulin into the abdominal area is appropriate as it is one of the preferred sites for insulin administration due to its consistent absorption.

B. Blood sugar readings should be taken before meals, not after, to determine the need for insulin and to manage blood glucose levels effectively.

C. Insulin does not allow for unrestricted consumption of high-sugar foods like ice cream; instead, a balanced diet is important to maintain stable blood glucose levels.

D. While weight reduction can help manage diabetes, it does not inherently cause hypoglycemia unless the client is taking insulin or other medications that lower blood glucose.

A. Purulent dialysate outflow B. Blood-tinged dialysate outflow C. Report of fullness with dialysate dwelling D. Report of discomfort during dialysate inflow

Correct Answer is A

Explanation

A. Purulent dialysate outflow is a sign of infection, specifically peritonitis, which is a serious complication of peritoneal dialysis that requires immediate medical attention.

B. Blood-tinged dialysate can occur, especially if the client is new to dialysis or has had recent abdominal surgery, but it should be monitored rather than immediately reported unless it is excessive.

C. A feeling of fullness during the dialysate dwelling phase is common and usually resolves as the body adjusts to the procedure.

D. Discomfort during dialysate inflow can occur, particularly with fast inflow rates or high dialysate volumes, but it is not immediately life-threatening.

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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

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Correct Answer is A

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