Examine the legs for color, capillary refill time, and tissue integrity when evaluating a client at risk for thrombosis.
Deep vein thrombosis is a condition when a blood clot (a thrombus) develops in a vein (DVT). This can dislodge and go into the bloodstream prior to reaching the lungs, where it can cause a pulmonary embolism (PE), a blockage in the pulmonary circulation that can be fatal.
In both primary and secondary care, nurses will be required to recognize and screen for deep vein thrombosis, therefore they must have the ability to evaluate the patient's clinical risk.
To utilize the Wells screening equipment properly, the leg must be extensively checked. Nurses ought to:
- Find any asymmetry or unilateral swelling, skin changes, wounds, oedema, erythema, or varicosities on both legs by keeping an eye out for them.
- Before palpating both legs, feel for heat with your hand over the suspected DVT location. Also feel for pain and any cracks in the skin.
- DVT symptoms can include deep venous system-specific pain.
- The difference in the calves' circumference is measured 10 cm below the tibial tuberosity.
- A DVT is the likely diagnosis if there is a discrepancy of more than 3 cm from the asymptomatic side.
- Check capillary refill time is between two and three seconds; this is a sign of peripheral perfusion by palpating the foot pulses.
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Answer:
The correct answer will be option-A
Explanation:
Electrocardiogram or ECG is the recording and representation of the electrical changes that are taking place during the cardiac cycle.
The QRS complex is preceded by the P wave or atrial systole or atrial depolarization after which the electrical signals are passed on to the AV node.
As soon as the AV node passes the electrical signals to bundle of His, it is observed in as the QRS interval which represents the atrial diastole and the onset of ventricular depolarization.
Thus, option-true is the correct answer.
If the patients cannot or will not follow through on treatment recommendations, it does little good to diagnose a disorder correctly and prescribe appropriate treatment.
For the proper diagnosis and treatment of a disease, it is important that a patient cooperates with the doctors and nurses. If a person does not cooperate, then the diagnosis of the treatment and its management cannot be planned correctly. A patient needs to understand that the healthcare workers advise everything for the betterment of the patient.
It is the responsibility of a patient to follow the instructions and recommendations at the time of diagnosis, he should also follow the treatment plan accordingly. Otherwise, there will be no improvement in his condition.
If a person makes a mistake in following up on a plan, he should also inform the doctor or nurse so that they can suggest an alternative.
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