The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

Correct Answer: C

Rationale: ROM and ambulation promote venous return, reducing DVT risk.

Question 2 of 5

Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing

Correct Answer: D

Rationale: Pursed-lip breathing prolongs exhalation, preventing alveolar collapse in COPD.

Question 3 of 5

The nurse understands that a priority goal of involuntary hospitalization of the severely mentally ill client is

Correct Answer: C

Rationale: Safety is the primary goal of involuntary admission.

Question 4 of 5

A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?

Correct Answer: A

Rationale: Elevation reduces swelling and promotes venous return, the primary intervention.

Question 5 of 5

A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?

Correct Answer: B

Rationale: Clinging reflects normal separation anxiety at this age, reassuring the parent.

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