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Author Question: A nurse is caring for a client with a deep vein thrombosis (DVT). What nursing assessment indicates ... (Read 132 times)

asmith134

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on: Jun 25, 2018
A nurse is caring for a client with a deep vein thrombosis (DVT). What nursing assessment indicates a priority outcome has been met?
 
  a. Ambulates with assistance
  b. Oxygen saturation of 98
  c. Pain of 2/10 after medication
  d. Verbalizing risk factors

Question 2

A nursing student is caring for a client with an abdominal aneurysm. What action by the student requires the registered nurse to intervene?
 
  a. Assesses the client for back pain
  b. Auscultates over abdominal bruit
  c. Measures the abdominal girth
  d. Palpates the abdomen in four quadrants


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macagn

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
A critical complication of DVT is pulmonary embolism. A normal oxygen saturation indicates that this has not occurred. The other assessments are also positive, but not the priority.

Answer to Question 2

ANS: D
Abdominal aneurysms should never be palpated as this increases the risk of rupture. The registered nurse should intervene when the student attempts to do this. The other actions are appropriate.


asmith134

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Reply #2 on: Jun 25, 2018
Correct answers!


macagn

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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