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The Nurse Is Providing Care to the Client Who Is

Question 20

Multiple Choice

The nurse is providing care to the client who is 3 days status post cardiac bypass grafting. The client has incisions to his right leg from the graft harvest of the veins. The client complains of warmth and tenderness to their right calf. The nurse notes a 3-cm periwound, with erythema and swelling at the distal end of the incision. Staples are intact along the incision, and there is no drainage. Vital signs are stable. The nurse would suspect that the client has what kind of complication?


A) Deep vein thrombosis (DVT)
B) Dehiscence of the wound
C) Internal bleeding
D) Infection at the incisional site

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