NURS347 TOP Exam Guide Exam Questions and CORRECT Answers
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care? a. Impaired skin integrity b. Alteration in body image c. Alteration in activity tolerance d. Impaired tissue perfusion - d. Impaired tissue perfusion S.E. is a 30 year old Caucasian male with no significant past medical history and family history is unremarkable. He had a recent basketball injury resulting in a torn Achilles tendon 3 weeks ago and a non-weight bearing cast was placed. He is complaining of right calf pain. Which of the following is indicative of deep vein thrombosis? a. Left leg tan with pale cool toes b. Dull throbbing right leg pain with cold pale toes c. Intermittent sharp stabbing right ankle pain without edema d. Right calf slightly red and swollen a few cm larger than the left calf with all pulses equal bilaterally. - d. Right calf slightly red and swollen a few cm larger than the left calf with all pulses equal bilaterally
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