The nurse is providing discharge instruction to a client who is ...

[strangeaffliction]

The nurse is providing discharge instruction to a client who is going home after a knee replacement. Which information regarding symptoms of deep vein thrombosis (DVT) should the nurse include?
 
  1. If you develop a DVT, you will know it.
  2. Watch for paleness or coolness in your toes.
  3. Report any swelling in your knee.
  4. Look for increased tenderness in your lower legs.

Question 2

A client has lost 50 pounds by following a diet that allows 1200 calories each day. Today's laboratory results reveal a significant decrease in platelets. Which foods should the nurse recommend the client add to the daily diet?
 
  1. Moderate-carbohydrate foods
  2. Foods high in vitamin C
  3. Fiber-rich foods
  4. Foods rich in folic acid

[whitcassie]

Answer to Question 1

Correct Answer: 4
Rationale 1: Some DVTs produce no symptoms.
Rationale 2: Pale toes would indicate arterial insufficiency.
Rationale 3: Because this client just had a knee replacement, swelling is likely to be present and is an expected finding.
Rationale 4: Tenderness, warmth, or swelling in the lower legs may indicate DVT.
Global Rationale: Tenderness, warmth, or swelling in the lower legs may indicate DVT. Some DVTs produce no symptoms. Pale toes would indicate arterial insufficiency. Because this client just had a knee replacement, swelling is likely to be present and is an expected finding.

Answer to Question 2

Correct Answer: 4
Rationale 1: Carbohydrates will not increase platelets.
Rationale 2: Increasing vitamin C levels will not help to increase platelets.
Rationale 3: Increasing fiber will not increase platelet production.
Rationale 4: A common cause of decreased platelet production is folic acid deficiency.
Global Rationale: A common cause of decreased platelet production is folic acid deficiency. Carbohydrates, increasing vitamin C, and increasing fiber will not increase platelets.