A nurse is caring for a 75-year-old client who is admitted to the medical- surgical unit. Exhibits 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
Explanation & Rationale
Potential condition: Deep vein thrombosis Based on the provided information, the client is most likely experiencing Deep Vein Thrombosis (DVT). This is suggested by the client's history of smoking, lack of exercise, obesity, recent surgery, and the fact that they are not wearing sequential compression devices due to discomfort. Actions to Take Request a prescription for a lower-extremity Doppler flow study: This will help confirm the presence of a blood clot in the deep veins. Assess for Homan's sign: This is a clinical test used to check for DVT, although it's not always reliable. Parameters to Monitor Signs of bleeding after anticoagulation initiation: This is crucial because anticoagulants are often used to treat DVT, and monitoring for bleeding is essential. PT/INR and platelet count: These parameters help assess the effectiveness and safety of anticoagulation therapy.