Difficulty: Medium
Average Score: 68%
Simulated
The client is admitted with left lower leg pain, a positive Homans' sign, and a temperature of 100.4┬░F (38┬░C). The nurse should assess the client further for signs of:
Correct answer
B
Rationale
Left leg pain, positive Homans' sign (pain on dorsiflexion), and low-grade fever suggest deep vein thrombosis (DVT). Further assessment for swelling, redness, or warmth confirms this. Aortic aneurysm, I.V. drug abuse, and claudication present differently.