Difficulty: Medium
Average Score: 83%
Simulated
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct answer
B
Rationale
The correct answer is B: Left lower extremity tenderness. This finding is the priority because it could indicate a potential blood clot (deep vein thrombosis) due to prolonged bed rest. This condition can lead to serious complications like pulmonary embolism. Loss of appetite (A) may be common with prolonged bed rest but is not immediately life-threatening. Increased heart rate (C) during physical activity is expected as a response to deconditioning. Musculoskeletal weakness (D) is a common consequence of immobility but is not as urgent as assessing for a potential blood clot.