Page 802 - Saunders Comprehensive Review For NCLEX-RN

Femoral

▪ Malaise
▪ Chills and fever
▪ Diminished peripheral pulses
▪ Shiny white skin over affected area
▪ Pain, stiffness, and swelling of affected leg

Pelvic

▪ Severe chills
▪ Dramatic body temperature changes
▪ Pulmonary embolism may be the first sign

Box 26-3
Client Education for Thrombophlebitis

▪ Never massage the leg.
▪ Avoid crossing the legs.
▪ Avoid prolonged sitting.
▪ Avoid constrictive clothing.
▪ Avoid pressure behind the knees.
▪ Know how to apply elastic stockings (support hose) if prescribed.
▪ Understand the importance of compliance with anticoagulant therapy if
prescribed.
▪ Understand the importance of follow-up with the health care provider.

Practice Questions

258. The nurse is monitoring a client in the immediate postpartum period for
signs of hemorrhage. Which sign, if noted, would be an early sign of
excessive blood loss?
1. A temperature of 100.4° F (38° C)
2. An increase in the pulse rate from 88 to 102 beats per minute
3. A blood pressure change from 130/88 to 124/80 mm Hg
4. An increase in the respiratory rate from 18 to 22 breaths per
minute
259. The nurse is preparing a list of self-care instructions for a postpartum client
who was diagnosed with mastitis. Which instructions should be included on
the list? Select all that apply.
1. Wear a supportive bra.

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