NCLEX Examination Challenge 3.
1 Physiological Integrity Note:-
Increased clotting+ pain in the enire r.leg= DVT
The nurse caring for a client with increased clotting reports
severe pain affecting the entire right leg. Which of the When increased clotting its always points to veins because
blood flow is more slower than in the arteries which clots
following additional assessment findings would the nurse forms due to stasis of blood
anticipate in this client’s affected extremity? Select all that -2. Symptoms that match venous problems
apply.
Severe pain + whole leg affected → venous clots
cause diffuse pain because blood backs up.
A. Redness
Arterial pain is usually sharp, sudden, and
B. Weak pedal pulse localized, often with a cool, pale foot.
In vein clotting pulse will be still present
C. Coolness
In aterial clotting puleses get weak
D. Swelling
E. Pallor
Cognition is the complex integration of mental processes and intellectual function for the
purposes of reasoning
Memory : ability to retain the information
elimination control depends on multiple factors, including muscle strength and nerve function.
Elimination
Adults who have urinary or bowel incontinence are at risk for damage to tissue integrity.
Physiologic Consequences of Fluid and Electrolyte Imbalance
Physiologic consequences of fluid deficit are the result of lack of poor perfusion (arterial blood
flow) and oxygen delivery to all parts of the body.
