Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
History and PhysicalVital signs
Nurses' Notes
Laboratory Results
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension. Surgical history: Cesarean birth x 2 as a young adult
Social history. Has smoked 1 pack of cigarettes per day for 40 years, drinks socially, does not exercise. Weight: 121.3 kg (267.4 lb)
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct answer
C
Rationale
Condition: Deep vein thrombosis. Actions: Request Doppler study, Assess for Homan's sign. Parameters: Signs of bleeding, PT/INR and platelet count. The client's history and symptoms suggest DVT.