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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A firm, irregularly shaped mass found during a rectal examination could potentially indicate a serious condition such as a tumor or other pathology. It's essential to report such findings and refer the client to a specialist for further evaluation and appropriate diagnosis.
B. It's important not to dismiss or downplay the significance of finding a mass, as it could signify a serious health issue.
C. Waiting a month for reassessment could potentially delay necessary medical intervention if the mass is concerning.
D. While documentation is important, it's crucial to prioritize immediate reporting and referral for further evaluation when such findings are discovered.
Correct Answer is C
Explanation
A. Dull throbbing pain increasing with rest might suggest a strain or sprain but not necessarily a fracture.
B. A dull ache could indicate various issues but may not specifically point to a fracture.
C. Sharp pain that worsens with movement is a common indicator of a fracture due to the bones moving against each other.
D. Deep pain in the wrist could signify deep tissue injury but doesn't distinctly indicate a fracture without other signs.
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