ATI RN
ATI RN Predictor Assessment Exit Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is 24 hr postoperative following a total knee arthroplasty. Which of the following findings on the operative leg should the nurse identify as a manifestation of a deep-vein thrombosis?
Correct Answer: C
Rationale: The correct answer is C: Palpable cord-like vein. This finding is indicative of a deep-vein thrombosis (DVT) as it suggests a blood clot within the vein causing it to feel firm and cord-like. This is a concerning sign postoperatively as DVT can lead to serious complications such as pulmonary embolism. The other choices are not specific to DVT. A: Increase in calf size may indicate swelling but is not specific to DVT. B: Capillary refill of 2 seconds is a normal finding. D: Extremity feeling cool to the touch can be due to various reasons and is not specific to DVT.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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