The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

Encourage the use of incentive spirometry

report 8/10 incisional pain

Assess popliteal pulses

Early ambulation

Answer and Explanation

The Correct Answer is D

A.   This option is primarily aimed at promoting lung expansion and preventing atelectasis (collapse of the lung). While it's an important post-operative intervention, it does not directly reduce the risk of embolic events related to venous thromboembolism.
B.   Reporting significant pain (8/10) may indicate complications such as infection or improper healing, but it does not directly relate to reducing the risk of embolic events. While managing pain is important for recovery, simply reporting it does not contribute to preventing VTEs.
C.   Assessing popliteal pulses is part of a thorough circulatory assessment, but it mainly focuses on blood flow to the lower extremities rather than preventing embolic events. It can help identify existing DVT but does not actively reduce the risk of embolism.
D.   This statement is true and is the best choice for decreasing the risk of an embolic event. Early ambulation promotes venous return, improves circulation, and significantly lowers the risk of DVT and pulmonary embolism in post-operative patients. Encouraging patients to get out of bed and move around as soon as they are stable is a key nursing intervention in post-operative care.

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Correct Answer is B

Explanation

A. A negative output would imply that the client has produced less urine than the irrigation received, which is not the case here.
B. The true urine output is 675 mL, calculated by subtracting the irrigation amount from the total urine collected.
C. The calculation does not support this value, as it does not accurately reflect the total urine output after accounting for the irrigation.
D. Similar to option A, a negative value does not apply here since the urine output exceeds the irrigation amount.

A. A career as a corporate attorney who exercises three times per week B. An uncomplicated vaginal birth 12 years ago C. Drinking a glass of red wine with dinner and taking Yoga classes on Saturdays D. Taking birth control pills and a 15-year pack per day smoking habit

Correct Answer is D

Explanation

A. This choice suggests a high-stress job but includes a positive aspect—regular exercise. Regular physical activity is protective against stroke, and being active can help mitigate some risk factors. Therefore, this scenario does not indicate a high risk for stroke.
B. This choice does not present a significant risk factor for stroke. An uncomplicated vaginal birth is typically not associated with an increased risk of stroke. Factors like recent pregnancy could increase risk due to changes in blood coagulation, but 12 years post-birth is not relevant.
C. Moderate alcohol consumption, such as a glass of red wine, may have some cardiovascular benefits when done in moderation, and practicing yoga can be beneficial for stress reduction and overall health. Therefore, this option does not suggest a high risk for stroke.
D. Both smoking and the use of birth control pills significantly increase the risk of stroke, particularly in women. Smoking is a well-known risk factor for cardiovascular disease and can lead to thrombosis (blood clots).

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The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?

Correct Answer is D

Explanation

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