Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate this complication to the nurse would be:

Correct Answer: D

Rationale: DVT presents with localized warmth, tenderness, and swelling due to venous obstruction and inflammation (D). Claudication (A) is arterial, pitting edema (B) is nonspecific, and pain on leg raising (C) is less typical than warmth and tenderness.

Correct Answer: D

Rationale: The vastus lateralis (D) is the preferred IM site in infants due to its large muscle mass and lack of major nerves or vessels. Deltoid (A) is too small, dorsogluteal (B) risks sciatic injury, and ventrogluteal (C) is less developed.

Correct Answer: D

Rationale: ROM exercises are often integrated into ADLs like bathing (D) to maintain joint mobility. They’re done multiple times daily (not A), don’t prevent strokes (B), and repetition varies (not C).

Correct Answer: B

Rationale: Pseudomembranous colitis is caused by Clostridium difficile (B) overgrowth, often post-antibiotics. Tetanus (A) affects nerves, H. pylori (C) causes ulcers, and E. coli (D) causes other infections.

Correct Answer: C

Rationale: Cheyne-Stokes respiration (C) is a cyclic breathing pattern seen near death. Rigor mortis (A) occurs post-mortem, Kussmaul (B) is metabolic acidosis-related, and tachycardia (D) is nonspecific.