A nurse encourages a client to prevent venous stasis by: A. ...

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A nurse encourages a client to prevent venous stasis by:
 
  A. Crossing the legs when sitting in a chair
  B. Wearing thigh-length nylon stockings or garters
  C. Elevating the legs on pillows while in bed
  D. Increasing early ambulation

Question 2

An assessment is made that the client is dehydrated. The nurse has found:
 
  A. Increased salivation
  B. Diuresis
  C. Periorbital edema
  D. Decreased capillary filling

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Answer to Question 1

D
D. Prevention is the best method to reduce the risk of deep vein thrombosis (DVT) secondary to immobility. Early ambulation remains the most effective preventive measure
A, B, and C. Discourage clients from activities that promote venous stasis (e.g., crossing legs, wearing garters, elevating legs on pillows). When possible, have clients elevate legs to improve venous return.

Answer to Question 2

D
D. CardiovascularFVD: increased pulse rate, weak pulse, hypotension, decreased pulse volume/pressure, decreased capillary filling, increased hematocrit
A. MouthFVE: excessive salivation
B. RenalFVE: decreased urine specific gravity, diuresis
C. EyesFVE: periorbital edema, blurred vision, papilledema

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