Which actions would the nurse take to prevent venous thrombus formation after abdominal surgery?

Adventitious

Rationale - Adventitious sounds are described as abnormal extra breath sounds to include crackles, rhonchi, wheeze, and pleural friction rubs.

Vesicular sounds are relatively soft, low-pitched, gentle, rustling sounds.

Bronchial sounds are louder and higher pictched and resemble air blowing through a hollow pipe.

Bronchovesicular sounds have a medium pitch and intensity and are heard over the mainstem bronchi on either side of the sternum and posteriorly between the scapulae.

Which action would the nurse take to prevent venous thrombus formation?

To prevent DVT, patient care includes graduated compression stockings or the use of a pneumatic compression device, and administration of the correct dose of anticoagulation agent (heparin or LMWH).

Which dietary restriction will the nurse expect to be included in the plan for a client with left ventricular failure?

Sodium restriction may help control the symptoms and signs of congestion in patients with symptomatic heart failure classes III and IV. Dietary sodium restriction (2–3 g daily) is recommended for patients with the clinical syndrome of heart failure and preserved or depressed left ventricular ejection fraction.

When hypokalemia is suspected which diagnostic test will the nurse use to confirm the diagnosis?

Diagnosis of Hypokalemia Hypokalemia (serum potassium < 3.5 mEq/L [< 3.5 mmol/L]) may be found during routine serum electrolyte measurement. It should be suspected in patients with typical changes on an ECG or who have muscular symptoms and risk factors and confirmed by blood testing.

Which physiological alteration would be expected with a higher than normal red blood cell RBC count?

Very high RBC mass will slow blood velocity and increase the risk of intravascular clotting. Examples of "secondary polycythemias", that occur in response to hypoxia, are chronic lung disease in adults and children with congenital heart defects characterized by cyanosis.