The nurse in the medical-surgical unit is caring for a 66-year-old female client.
1000:Has a confirmed left-leg deep vein thrombosis. Anticoagulation is being administered as prescribed. The nurse reassesses the client at 1000.
Click to highlight the findings below that require immediate follow-up.
Nurses' Notes
1000:
New shortness of breath occurs at rest.
Left-leg swelling remains unchanged from diagnosis.
Scheduled anticoagulant doses are documented as given.
Chest pain increases with a deep breath.
The client now coughs up blood.
Yesterday's ordered walk caused no breathing difficulty.
New shortness of breath occurs at rest.
Left-leg swelling remains unchanged from diagnosis.
Scheduled anticoagulant doses are documented as given.
Chest pain increases with a deep breath.
The client now coughs up blood.
Yesterday's ordered walk caused no breathing difficulty.