Level: Clinical
Difficulty: Medium
Subtopic: Clotting and bleeding disorders
NCLEX: A 73-year-old client on a telemetry unit is being evaluated for clotting and bleeding disorder. Assessment data i…
Pathophysiology Physiological Adaptation
Case Study
A 73-year-old client on a telemetry unit is being evaluated for clotting and bleeding disorder. Assessment data include bilateral calf pain with redness and warmth after bedrest. Which intervention best reduces the client's risk of complications?
Question
A. Identify risk early, implement prevention measures, teach warning signs, and plan timely reassessment.
B. Restrict all movement without individualized assessment.
C. Delay teaching until the day of discharge only.
D. Ignore small changes until they become severe.
B. Restrict all movement without individualized assessment.
C. Delay teaching until the day of discharge only.
D. Ignore small changes until they become severe.
Rationale
Correct answer: A. Identify risk early, implement prevention measures, teach warning signs, and plan timely reassessment.
Rationale: Risk reduction focuses on early identification, prevention, teaching, and reassessment rather than unnecessary restriction or delay.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Risk reduction focuses on early identification, prevention, teaching, and reassessment rather than unnecessary restriction or delay.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.