As the Nurse Is Completing the Physical Assessment of a Client

question 22

Multiple Choice

As the nurse is completing the physical assessment of a client receiving heparin therapy for deep vein thrombosis (DVT) ,the client complains of severe lumbar pain.Which is the nurse's priority action?

• A)Evaluate further because this could indicate a complication of drug therapy.
• B)Reposition the client to promote comfort.
• C)Administer pain medication.
• D)Document the finding and report it to the next shift.

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Definitions:

Information Processing

The ways in which individuals perceive, analyze, manipulate, store, and recall information.

Brain Cells

The cells found within the brain, including neurons and glial cells, which play various roles in brain function, such as processing and transmitting information.

Sleep

A natural, reversible state of rest for the body and mind, essential for health and well-being, characterized by altered consciousness and reduced sensory activity.

Working Memory

A cognitive system responsible for temporarily holding information available for processing, reasoning, and guiding decision-making.