The nurse is utilizing the Wells Scale to assess a client for ...

[s.tung]

The nurse is utilizing the Wells Scale to assess a client for deep vein thrombosis. Which of the following is assessed when using this scale? (Select all that apply.)
 
  1. Treatment for cancer
  2. Recent immobility for greater than 3 days
  3. Recovery from surgery with general anesthesia within 12 weeks
  4. Entire leg edematous
  5. Pitting edema of the symptomatic leg
  6. Blood pressure 130/86 mmHg

Question 2

A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she received when she had a total knee replacement. Which of the following should the nurse respond to this client?
 
  1. You don't need something that strong.
  2. That medication does not exist anymore.
  3. That medication does not last very long.
  4. It can cause you have high blood pressure.

[djpooyouma]

Answer to Question 1

1, 2, 3, 4, 5
The Wells Scale is a tool used to assess a client for the presence of a deep vein thrombosis. Areas assessed include treatment or diagnosis of cancer, recent immobility for greater than 3 days, recovery from surgery during which the client received general or regional anesthesia within 12 weeks, entire leg swollen, and pitting edema confined to the symptomatic leg. Blood pressure is not a criteria used on this scale.

Answer to Question 2

3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best response for the nurse to make to the client would be that medication does not last very long. The other responses are inaccurate.

[s.tung]

Thanks for the timely response, appreciate it

[gcook]

TYSM