A purchaser complains of calf tenderness, and thrombophlebitis is suspected. The nurse
might subsequent determine the purchaser for which finding?
A.Bilateral edema
B.Increased calf circumference
C.Diminished distal peripheral pulses
D.Coolness and pallor of the affected limb
Increased cal circumference
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The nurse is assessing a client's legs for the presence of edema. The nurse notes that the
patron has slight pitting with slight indentation and no perceptible swelling of the leg. How
would the nurse define and document this locating?
A. 1+ edema
B. 2+ Edema
C. 3+ Edema
D. 4+ Edema
1+ Edema
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A consumer is at risk for vasovagal attacks that reason bradydysrhythmias. The nurse might
tell the customer to avoid which moves to prevent this occurrence? Select all that practice.
A. Applying pressure at the eyes
B. Raising the fingers above the pinnacle
C. Taking stool softeners on a each day foundation
D. Bearing down at some stage in a bowel motion
E. Simulating a gag reflex when brushing the tooth
Applying strain at the eyes
, Raising the hands above the pinnacle
Bearing down for the duration of a bowel motion
Simulating a gag reflex while brushing the enamel
The nurse assesses the sternotomy incision of a purchaser on the 1/3 day after cardiac
surgery. The incision suggests some slight puffiness along the rims and is non-reddened,
with no obvious drainage. The purchaser's temperature is 99° F (37.2° C) orally. The white
blood cellular count number is 7500 mm3 (7.Five × 109/L). How would the nurse interpret
those findings?
A.Incision is slightly edematous but indicates no energetic symptoms of infection.
B.Incision suggests early signs and symptoms of infection, although the temperature is
nearly regular.
C.Incision indicates no sign of contamination, despite the fact that the white blood mobile
remember is expanded.
D.Incision suggests early signs and symptoms of contamination, supported by using an
extended white blood cell be counted.
Incision is barely edematous however shows no lively symptoms of infection.
Which is the priority assessment within the care of a purchaser who's newly admitted to the
health center for acute arterial insufficiency of the left leg and mild continual arterial
insufficiency of the right leg?
A.Monitor oxygen saturation with pulse oximetry.
B.Assess interest tolerance before and after workout.
C.Observe the client's cardiac rhythm with telemetry.
D.Assess peripheral pulses with an ultrasonic Doppler device.
Assess peripheral pulses with an ultrasonic Doppler tool.
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The nurse is coaching the purchaser with viral hepatitis about the stages of the disorder. The
nurse could explain to the patron that the second degree of this ailment is characterised via
which specific evaluation findings? Select all that follow.
A. Jaundice
B. Flu-like signs and symptoms
C. Clay-coloured stools
D. Elevated bilirubin tiers