A 50-year-old woman presents with a history of sudden-onset leg pain and swelling. She has a recent history of prolonged immobility due to a recent surgery. What is the most likely diagnosis?

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Vital Signs Assessment Chapter 7 Questions

Question 1 of 5

A 50-year-old woman presents with a history of sudden-onset leg pain and swelling. She has a recent history of prolonged immobility due to a recent surgery. What is the most likely diagnosis?

Correct Answer: A

Rationale: Sudden-onset leg pain, swelling, and a history of recent immobility are consistent with deep vein thrombosis (DVT).

Question 2 of 5

A pregnant woman states, 'I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor.' The nurse responds by stating, 'Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain.' Which statement is true regarding this response? The nurse's reply was a:

Correct Answer: B

Rationale: By providing false assurance or reassurance, this courage builder relieves the woman's anxiety and gives the nurse the false sense of having provided comfort. However, for the woman, providing false assurance or reassurance actually closes off communication, trivializes her anxiety, and effectively denies any further talk of it.

Question 3 of 5

A tender, painful swelling of the scrotum should suggest which of the following?

Correct Answer: D

Rationale: A tender, painful swelling of the scrotum can be a medical emergency. All of these conditions should be considered, as well as acute orchitis.

Question 4 of 5

The nurse is assessing a patient's peripheral pulses. Which pulse is located on the top of the foot?

Correct Answer: A

Rationale: The dorsalis pedis pulse is located on the top of the foot and is an important indicator of peripheral circulation.

Question 5 of 5

G.R. is a 75-year-old male who presents to the emergency department with chest pain, palpitations, and appears pale and diaphoretic. As the history and physical are completed, the following problems emerge. Please label them first-, second-, or third-level priority problems. b. Serum potassium 2.7 mmol/L (low), Glucose 225 mg/dL (high)

Correct Answer: A

Rationale: Low potassium and high glucose levels are critical and require immediate attention, making this a first-level priority.

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