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A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

A.

Instruct the client to limit walking episodes.

B.

Tell the client that this is normal during pregnancy.

C.

Gather further assessment data

D.

Instruct the client to elevate the legs consistently throughout the day.

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Limiting walking episodes may reduce discomfort but does not address the underlying issue or potential complications.

 

B. While leg cramps can be common during pregnancy, calf pain could also indicate a more serious condition, such as deep vein thrombosis (DVT), and should not be dismissed as normal without further investigation.

 

C. Gathering further assessment data is crucial to determine the cause of the calf pain, as it may indicate DVT, a potentially life-threatening condition. The nurse should assess for other symptoms like swelling, redness, or warmth in the leg.

 

D. Instructing the client to elevate the legs may be appropriate for general discomfort, but without proper assessment, it may not be the correct intervention if DVT is present.


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View Related questions

Correct Answer is D

Explanation

Rationale:

A. While administering oxygen can help with overall oxygenation, it does not specifically address the issue of thick, tenacious secretions.

B. A low-salt diet might be indicated for other health concerns but does not directly impact bronchial secretions.

C. Semi-Fowler's position can help with lung expansion and ease of breathing but does not directly assist with loosening secretions.

D. Drinking 2 to 3 liters of water daily helps to thin bronchial secretions, making it easier for the client to expectorate (cough up) the mucus, which is particularly important in managing COPD.

Correct Answer is C

Explanation

Rationale:

A. Examining feet daily is important for preventing foot complications, such as ulcers, in diabetics but is not directly related to preventing retinopathy and nephropathy.

B. Wearing compression stockings is not specifically recommended for preventing retinopathy or nephropathy in diabetes.

C. Maintaining stable blood glucose levels is crucial for preventing or slowing the progression of diabetic complications such as retinopathy and nephropathy. Good glycemic control minimizes the damage to blood vessels in the eyes and kidneys.

D. While regular eye exams are important for detecting retinopathy early, maintaining stable blood glucose levels is key to preventing the development of complications in the first place.

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