©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
NUR233: Exam 2- Davis Questions with
100% Solved | Graded A+ | Latest Update
You enter the room of a 75-year-old male client, Bob, admitted with a
diagnosis of left femur fracture who is in skeletal traction. Bob fell off a
ladder at his home. He is going into surgery in 12 hours for an open
reduction internal fixation of the fracture.The nurse considers Virchow's
triad of risk factors for the development of a venous thrombosis. Which
factors does Bob have? Select all that apply. - ✔✔Stasis of blood flow,
Damage to vessel walls
The Virchow's triad includes a decreased flow of blood, endothelial injury,
and hypercoagulability. This client has blood stasis from immobility
(decreased blood flow) and blood vessel injury from the fracture
(endothelial injury). No history indicates that he is at risk for
hypercoagulability (increased tendency for blood clotting).
Which of the following is not a risk factor for developing DVT?
Client's age
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Client's gender
Client's immobility
Client's history of traumatic injury - ✔✔gender
You are completing your shift assessment on Bob. He states there is a
soreness and moderate pain in the right calf under the sequential
compression device (SCD). You gently palpate the right calf and note
hardening along the blood vessel and warmer skin than that of the left calf.
What action should the nurse take next?
Perform a visual assessment.
Gently massage the left calf.
Assist the client with range of motion exercises.
Review the client's medication list. - ✔✔prefrom a visual assessment
A thorough assessment needs to take place before contacting the provider.
Direct visualization is required. You would not massage the leg, nor assist
the client with range of motion exercises. Both options are contraindicated
nursing actions. You may review the client's medication list, but this would
not be the priority action.
You remove Bob's sequential compression device (SCD) from the right leg
to continue the assessment. Which finding is most concerning?
NUR233: Exam 2- Davis Questions with
100% Solved | Graded A+ | Latest Update
You enter the room of a 75-year-old male client, Bob, admitted with a
diagnosis of left femur fracture who is in skeletal traction. Bob fell off a
ladder at his home. He is going into surgery in 12 hours for an open
reduction internal fixation of the fracture.The nurse considers Virchow's
triad of risk factors for the development of a venous thrombosis. Which
factors does Bob have? Select all that apply. - ✔✔Stasis of blood flow,
Damage to vessel walls
The Virchow's triad includes a decreased flow of blood, endothelial injury,
and hypercoagulability. This client has blood stasis from immobility
(decreased blood flow) and blood vessel injury from the fracture
(endothelial injury). No history indicates that he is at risk for
hypercoagulability (increased tendency for blood clotting).
Which of the following is not a risk factor for developing DVT?
Client's age
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Client's gender
Client's immobility
Client's history of traumatic injury - ✔✔gender
You are completing your shift assessment on Bob. He states there is a
soreness and moderate pain in the right calf under the sequential
compression device (SCD). You gently palpate the right calf and note
hardening along the blood vessel and warmer skin than that of the left calf.
What action should the nurse take next?
Perform a visual assessment.
Gently massage the left calf.
Assist the client with range of motion exercises.
Review the client's medication list. - ✔✔prefrom a visual assessment
A thorough assessment needs to take place before contacting the provider.
Direct visualization is required. You would not massage the leg, nor assist
the client with range of motion exercises. Both options are contraindicated
nursing actions. You may review the client's medication list, but this would
not be the priority action.
You remove Bob's sequential compression device (SCD) from the right leg
to continue the assessment. Which finding is most concerning?
