Author Question: The nurse is concerned that a client admitted for a total hip replacement is at risk for thrombus ... (Read 34 times)

nevelica · **on:** Jun 25, 2018

The nurse is concerned that a client admitted for a total hip replacement is at risk for thrombus formation. Which assessment finding supports the nurse's concern?

A) Body mass index (BMI) 35.8
B) Former cigarette smoker
C) Blood pressure 132/88 mmHg
D) Age 45 years

Question 2

The nurse caring for a client recovering from an abdominal hysterectomy suspects the client is experiencing a pulmonary embolism. Which clinical manifestation supports the nurse's suspicion?

A) Nausea
B) Decreased urine output
C) Dyspnea and shortness of breath
D) Activity intolerance

shaquita · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Risk factors for the development of thrombus formation that could lead to a pulmonary embolism include obesity, orthopedic surgery, myocardial infarction, heart failure, and advancing age. The BMI of 35.8 falls into the category of obese, which would increase the client's risk of developing a thrombus and possible pulmonary embolism. The client's age, status as a former smoker, and blood pressure would not have as significant an impact on the development of a thrombus as the client's weight.

Answer to Question 2

Answer: C

Manifestations of a pulmonary embolism include dyspnea, shortness of breath, pleuritic chest pain, anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever. Decreased urine output, activity intolerance and nausea are not clinical manifestations of a pulmonary embolism.