Author Question: The nurse is collecting equipment to assess a client's ankle/brachial index (ABI). What equipment ... (Read 31 times)

bclement10 · **on:** Jul 23, 2018

The nurse is collecting equipment to assess a client's ankle/brachial index (ABI). What equipment should be taken to the client's bedside?

1. Blood pressure cuff and a Doppler ultrasound device
2. None, as no special equipment is needed
3. Stethoscope and penlight
4. Reflex hammer and tuning fork

Question 2

The client is admitted with a possible deep vein thrombosis. Nursing interventions should be designed to prevent which complication?

1. Myocardial infarction
2. Renal failure
3. Pulmonary embolism
4. Pneumonia

aadams68 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The nurse should take a blood pressure cuff and a Doppler ultrasound device to the bedside for this measurement.
Rationale 2: The nurse should take a blood pressure cuff and a Doppler ultrasound device to the bedside for this measurement.
Rationale 3: No other equipment is used in this assessment.
Rationale 4: No other equipment is used in this assessment.

Answer to Question 2

Correct Answer: 3
Rationale 1: The thrombus is less likely to cause a myocardial infarction.
Rationale 2: The thrombus is not going to cause renal failure.
Rationale 3: The presence of a deep vein thrombosis is a risk factor for the development of a pulmonary embolism. The nurse should design interventions to help prevent that development.
Rationale 4: The thrombus is not going to cause pneumonia.