The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

measure the circumference of the ankle.

measure the calf at the widest point with a tape measure.

check the dorsalis pedis pulse with the palm of the hand.

compress the dorsalis pedis pulse, looking for blood return.

Answer and Explanation

The Correct Answer is B

A.   Measuring the circumference of the ankle is not a specific method for screening DVT.
B.   Assessing the calf at its widest point with a tape measure can reveal differences in calf size, which might indicate swelling due to a DVT.
C.   Checking the dorsalis pedis pulse assesses peripheral circulation but doesn't specifically screen for DVT.
D.   Compressing the dorsalis pedis pulse to check for blood return is part of assessing peripheral circulation but doesn’t directly screen for DVT.

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Correct Answer is B

Explanation

A. A capillary refill of less than 5 seconds is considered normal.
B. Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C. Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D. Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

A. Vas deferens B. Scrotum C. Prostate D. Testis

Correct Answer is C

Explanation

A. Vas deferens is a duct that transports sperm from the epididymis to the ejaculatory duct but isn't an accessory glandular structure.
B. Scrotum is the sac of skin that houses the testes but isn't an accessory gland.
C. The prostate gland is an accessory glandular structure in males responsible for producing part of the seminal fluid.
D. Testis is the primary male reproductive organ responsible for sperm production but isn't an accessory gland.

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The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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