The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?

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Question 1 of 5

The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?

Correct Answer: C

Rationale: DVT causes localized swelling from venous obstruction.

Question 2 of 5

A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client is using the mechanism of 'suppression'?

Correct Answer: B

Rationale: Suppression is consciously avoiding discussion, unlike repression .

Question 3 of 5

The nurse is caring for a client in the late stages of amyotrophic lateral sclerosis (ALS). Which finding would the nurse expect?

Correct Answer: C

Rationale: ALS weakens respiratory muscles, causing shallow breathing in late stages.

Question 4 of 5

For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?

Correct Answer: A

Rationale: Hypertension in AGN raises seizure risk, necessitating precautions.

Question 5 of 5

The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client

Correct Answer: C

Rationale: Ambulation and sitting promote comfort and circulation, balanced with ascites management.

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