A nurse is caring for a client who is experiencing impaired mobility. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdownanddropdown
Explanation & Rationale
Rationale for correct choices: Deep vein thrombosis: The client’s limited mobility, recent hip fracture, and unilateral calf swelling and warmth significantly increase the risk for DVT. Immobility reduces venous return, promoting clot formation in the lower extremities, making early assessment and preventive measures critical. Pulmonary embolism: A DVT can dislodge and travel to the lungs, causing a potentially life-threatening pulmonary embolism. Monitoring for signs such as sudden shortness of breath, chest pain, or hypoxia is essential to prevent serious complications. Rationale for incorrect choices: Diarrhea: There is no evidence of gastrointestinal upset, increased bowel movements, or infection that would place the client at risk for diarrhea. Hypertension: The client’s vitals do not indicate elevated blood pressure, and there are no factors in the scenario suggesting risk for acute hypertension. Hypocalcemia: The client’s lab results do not indicate low calcium levels, and there are no signs or symptoms suggestive of hypocalcemia, making this an unlikely risk.