24. A nurse should recognize the signs of deep vein thrombosis (DVT) if a client reports:
Select all that apply.
24. A nurse should recognize the signs of deep vein thrombosis (DVT) if a client reports:
Select all that apply.
. Leg feeling cool with no pain.
. Numbness of legs with diaphoresis.
. Sudden swelling of one leg with dependent edema.
. Dizziness and blurred vision.
. Pain behind the knee with dorsiflexion of foot.
Test-Taking Tip
Visualize the effect a clot in the leg will have on venous circulation.
Content Area: Adult Health, Vascular; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
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Answer 1 is incorrect because the problem in DVT causes phlebitis, which is characterized by warmth, redness, and pain. Answer 2 is incorrect because the problem in DVT is circulatory, not neurological. Answer 3 is correct because a clot in a leg vein will affect venous return and cause swelling and edema. Answer 4 is incorrect because the problem in DVT is in the leg, not the eyes. Answer 5 is correct because pain with dorsiflexion (positive Homans' sign) may be present with DVT but should not be the only indicator of DVT.