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NUR233: Exam 2- Davis Questions with 100% Solved | Graded A+ | Latest Update $9.49
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NUR233: Exam 2- Davis Questions with 100% Solved | Graded A+ | Latest Update
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NUR233: Exam 2- Davis Questions with 100% Solved | Graded A+ | Latest Update You enter the room of a 75-year-old male client, Bob, admitted with a diagnosis of left femur fracture who is in skeletal traction. Bob fell off a ladder at his home. He is going into surgery in 12 hours for an open r...

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  • November 20, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NUR 233
  • NUR 233

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
NUR233: Exam 2- Davis Questions with

100% Solved | Graded A+ | Latest Update


You enter the room of a 75-year-old male client, Bob, admitted with a

diagnosis of left femur fracture who is in skeletal traction. Bob fell off a

ladder at his home. He is going into surgery in 12 hours for an open

reduction internal fixation of the fracture.The nurse considers Virchow's

triad of risk factors for the development of a venous thrombosis. Which

factors does Bob have? Select all that apply. - ✔✔Stasis of blood flow,

Damage to vessel walls



The Virchow's triad includes a decreased flow of blood, endothelial injury,

and hypercoagulability. This client has blood stasis from immobility

(decreased blood flow) and blood vessel injury from the fracture

(endothelial injury). No history indicates that he is at risk for

hypercoagulability (increased tendency for blood clotting).

Which of the following is not a risk factor for developing DVT?

Client's age

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Client's gender

Client's immobility

Client's history of traumatic injury - ✔✔gender

You are completing your shift assessment on Bob. He states there is a

soreness and moderate pain in the right calf under the sequential

compression device (SCD). You gently palpate the right calf and note

hardening along the blood vessel and warmer skin than that of the left calf.

What action should the nurse take next?

Perform a visual assessment.

Gently massage the left calf.

Assist the client with range of motion exercises.

Review the client's medication list. - ✔✔prefrom a visual assessment



A thorough assessment needs to take place before contacting the provider.

Direct visualization is required. You would not massage the leg, nor assist

the client with range of motion exercises. Both options are contraindicated

nursing actions. You may review the client's medication list, but this would

not be the priority action.

You remove Bob's sequential compression device (SCD) from the right leg

to continue the assessment. Which finding is most concerning?

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