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Practice Question

A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

Answer Choices:

Correct Answer:

Apply compression stockings to the lower extremities.

Rationale:

🟦 Compression stockings promote venous return by applying graduated pressure to the lower extremities, reducing venous stasis.

🟦 Early ambulation activates the calf muscle pump, one of the most effective mechanisms for preventing blood pooling after surgery.

🟦 Leg exercises such as ankle pumps and flexion-extension improve circulation and venous flow when the client is immobile.

🟦 These interventions directly address Virchow’s triad by reducing venous stasis.

🟦 Consistent use significantly lowers the risk of postoperative deep vein thrombosis.

Massage the client's calves vigorously to stimulate blood flow.

🟦 Vigorous calf massage can dislodge an undetected clot.

🟦 This action increases the risk of pulmonary embolism.

Elevate the client's legs above heart level for extended periods.

🟦 Prolonged elevation can reduce arterial perfusion.

🟦 Elevation alone does not adequately prevent venous stasis.

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This question is from Chamberlain mastery fundamentals exam which contains 77 questions.

More Questions from This Exam
A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Answer Choices:

A. Encourage the client to reduce their fluid intake.
B. Document the finding as a normal variation due to age.
C. Refer the client to a urologist for bladder training.
D. Ask the client about the frequency and severity.
A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

Answer Choices:

A. An older adult who lives alone and enjoys grocery shopping and cooking.
B. A single caregiver with an adequate income who lives far from the store.
C. A middle-aged adult who pays for private health insurance.
D. A single parent who has a low income and is living with their parents.
The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

Answer Choices:

A. Sit quietly with the client and allow time for them to speak.
B. Begin discussing the client’s medical history to fill the silence.
C. Tell the client, “I’ll come back when you’re ready to talk.”
D. Encourage the client to talk by asking multiple questions quickly.
E. Ask, “Would you prefer to talk later or have someone else present?”
A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

Answer Choices:

A. The client’s urinary output is adequate for this period.
B. The client is unable to empty the bladder effectively.
C. The client’s post-catheter urinary retention is normal.
D. The client’s discomfort is unrelated to bladder function.
From Exam
Chamberlain mastery fundamentals exam

77 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Fundamentals
  • Answer Choices: 5
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