What is the most important action for the nurse to take when caring for a client with a suspected deep vein thrombosis (DVT)?

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Question 1 of 5

What is the most important action for the nurse to take when caring for a client with a suspected deep vein thrombosis (DVT)?

Correct Answer: D

Rationale: Assessing for signs of pulmonary embolism is critical as DVT can lead to life-threatening complications if a clot dislodges.

Question 2 of 5

Another nursing check that should not be missed before the induction of general anesthesia is:

Correct Answer: B

Rationale: Checking for dentures (B) is critical before general anesthesia to prevent airway obstruction or damage during intubation. Checking patient ID (C) is also essential but is typically done earlier. Option A is unclear and likely a typo, not a standard check.

Question 3 of 5

The statement 'Upon exertion, the client is wheezing and experiencing some dyspnea' is an example of:

Correct Answer: A

Rationale: These data are examples of the P of PIE because they describe the problem.

Question 4 of 5

Problem Oriented Medical Record(POMR) method of documentation includes which of the following sections? Select one that doesn't apply.

Correct Answer: C

Rationale: The POMR has the following major sections: database, problem list, care plan, and progress notes.

Question 5 of 5

What is the best method for verifying a client's identity?

Correct Answer: B

Rationale: Checking the ID band is the most reliable method for verifying a client's identity and preventing errors.

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