Jensen chapter 29
The nurse caring for six clients enters the room of a client who underwent gastrointestinal surgery and assesses vital signs, the abdominal wound, and auscultates bowel sounds before seeing the next client. Which type of assessment did this nurse perform on the client? -Shift -Focused -Head to toe -Comprehensive
focused
What type of assessment would the nurse perform when assessing pain after medicating? -Comprehensive -Urgent -Focused -Shift
focused
What type of assessment would the nurse perform when assessing pain after medicating? -Urgent -Comprehensive -Shift -Focused
focused
The nurse notes the client has weak pulses bilaterally. The nurse understands that this could indicate the client is experiencing what? -Hypovolemia -Occlusion -Hypervolemia -Constriction
hypovolemia
When using the SBAR communication tool to inform the physician of a client's high blood pressure and anxiety, the nurse should make which statement first while on the phone with the physician? -"Your client has a high blood pressure and takes antihypertensives at home." -"The client's blood pressure is 180/85, pulse is 94 and client appears anxious." -"You need to come assess this client at the bedside." -"I am a registered nurse caring for your client."
i am a registered nurse caring for your client
The client has a Glasgow Coma Score of 7. The nurse understands this client is considered to be what? -To have minimal impairments -Is in a deep coma -In coma -To have no impairments
in coma
The client has a Glasgow Coma Score of 7. The nurse understands this client is considered to be what? -To have no impairments -To have minimal impairments -Is in a deep coma -In coma
in coma
The client states her husband died a few months ago and she has not been the same since. Which nursing diagnosis is most appropriate? -Anticipatory grieving -Fear -Ineffective coping -Mental status change
ineffective coping
The client states her husband died a few months ago and she has not been the same since. Which nursing diagnosis is most appropriate? -Ineffective coping -Anticipatory grieving -Mental status change -Fear
ineffective coping
What nursing diagnosis would be most appropriate for a client admitted with heart failure? -Acute pain -Ineffective tissue perfusion -Risk for denial -Impaired gas exchange
ineffective tissue perfusion
What nursing diagnosis would be most appropriate for a client admitted with heart failure? -Acute pain -Risk for denial -Ineffective tissue perfusion -Impaired gas exchange
ineffective tissue perfusion
The client reports severe pain when breathing in deeply. The description suggests to the nurse that the client is experiencing which respiratory condition? -an increase of sensory stimulation in the visceral pleura -an accumulation of fluid between the lungs and the visceral pleura -inflammation of the parietal pleura -ineffective innervation of the of the parietal pleura by the phrenic nerve
inflammation of the parietal pleura
The client reports severe pain when breathing in deeply. The description suggests to the nurse that the client is experiencing which respiratory condition? -ineffective innervation of the of the parietal pleura by the phrenic nerve -inflammation of the parietal pleura -an accumulation of fluid between the lungs and the visceral pleura -an increase of sensory stimulation in the visceral pleura
inflammation of the parietal pleura
A client is admitted for observation after complaining of chest pain. A 12-lead electrocardiogram (ECG) reveals a normal sinus rhythm. The staff nurse questions the charge about whether the client can be observed or should be sent home because the ECG is normal. What is the charge nurse's best response? -"Call the healthcare provider to change the admitting diagnosis." -"Tell the client that insurance will not pay for observation." -"It's acceptable for a client to admitted for observation." -"Refuse to admit the client without a proper medical diagnosis."
its acceptable for a client to admitted for observation
Which statement represents a clanging speech pattern? -"The yard is covered in gukkers." -"I love flowers, I love beer, I love January, I love loving." -"Peas are good. Trees are wood. I'd leave if I could." -"See that nurse, it's cold in here, my mother likes pink flowers."
"Peas are good. Trees are wood. I'd leave if I could."
The nurse is caring for a client in the hospital and identifies the client to be experiencing acute confusion after cardiac surgery. The nurse recognizes this as what? -Dementia -Delirium -Hypoxia -Amnesia
delirium
The nurse is caring for a client in the hospital and identifies the client to be experiencing acute confusion after cardiac surgery. The nurse recognizes this as what? -Hypoxia -Dementia -Amnesia -Delirium
delirium
Upon reviewing the client's medical record, the nurse finds the client has left ptosis. The nurse would assess the client for what? -Drooping of the left side of the mouth -Drooping of the left eye -Swelling of the optic nerve -Loss of visual fields on the left
drooping of the left eye
A hospitalized client continues to exhibit residual effects of a stroke. Which symptom is the priority concern? -Weak gait -Dysphagia -Right ptosis -Facial weakness
dysphagia
The nurse is walking by a client's room and notices the client's pulse oximeter reads 89% on the monitor. What is the nurse's best action? -Document the oxygen saturation level in the client's medical record. -Enter the room and auscultate the client's lung sounds. -Notify the healthcare provider immediately of the finding. -Administer the scheduled diuretic as prescribed.
enter the room and auscultate the clients lungs sounds
What abnormal physical response should the nurse be prepared to manage after noting pallor in a client? -fainting -vomiting -diarrhea -diaphoresis
fainting
The client has decreased sensation in his legs. What additional assessment should the nurse include? -Fall -Surgical site -Bloodstream infection -Sepsis
fall
The client has decreased sensation in his legs. What additional assessment should the nurse include? -Surgical site -Bloodstream infection -Sepsis -Fall
fall
Which of the following would put the client at risk for falls? Select all that apply. -Dizziness -Hypotension -Confusion -Palpitations -Diaphoresis
Dizziness Hypotension Confusion
The nurse is walking by a client's room and notices the client's pulse oximeter reads 89% on the monitor. What is the nurse's best action? -Enter the room and auscultate the client's lung sounds. -Document the oxygen saturation level in the client's medical record. -Notify the healthcare provider immediately of the finding. -Administer the scheduled diuretic as prescribed.
Enter the room and auscultate the client's lung sounds.
The nurse finds the client's abdomen to be distended. The nurse recognize distention may be caused by what? Select all that apply. -Fetus -Gas -Fluid -Hiatal hernia -Feces
Feces Fluid Fetus Gas
The nurse notes the client has weak pulses bilaterally. The nurse understands that this could indicate the client is experiencing what? -Occlusion -Hypervolemia -Constriction -Hypovolemia
Hypovolemia
The nursing assistant obtains vital signs and reports a blood pressure of 180/95 to the nurse. What is the nurse's best action? -Ask the nursing assistant to check for symptoms of hypertension. -Document the blood pressure as an expected finding. -Notify the healthcare provider immediately. -Instruct the nursing assistant to obtain a manual blood pressure.
Instruct the nursing assistant to obtain a manual blood pressure.
A hospitalized client who suffered a recent stroke hasn't started a diet yet and has referrals in to speech therapy, occupational therapy, and physical therapy. What is the nurse's best action at mealtime? -Request the occupational therapist to remain with client during meal. -Cancel the physical therapy referral when client begins to tolerate meals. -Ask the nursing assistant to offer sips of water to test swallowing. -Keep the client NPO until speech therapy has seen client.
Keep the client NPO until speech therapy has seen client.
The nurse suspects the client has increased intracranial pressure due to meningitis. What should the nurse assess? -Decreased level of consciousness -Confusion -Extraocular movements -Neck mobility
Neck mobility
The nurse is testing for Kernig's sign in a newly admitted client. What would indicate meningeal inflammation? -Hips and knees remain relaxed an motionless -Resistance to neck flexion -Neck resistance -Pain and resistance to knee extension bilaterally
Pain and resistance to knee extension bilaterally
An older client is hospitalized with pneumonia. The nurse suspects the client is developing severe sepsis based on which assessment findings? (Select all that apply.) -Platelet count 90,000 -PaCO2 30 mmHg -White blood cell count 10,000/mm3 -Pulse 104 beats/minute -Temperature 37.8 degrees Celsius
Platelet count 90,000 Pulse 104 beats/minute PaCO2 30 mmHg
An older client is hospitalized with pneumonia. The nurse suspects the client is developing severe sepsis based on which assessment findings? (Select all that apply.) -Platelet count 90,000 -Pulse 104 beats/minute -Temperature 37.8 degrees Celsius -PaCO2 30 mmHg -White blood cell count 10,000/mm3
Platelet count 90,000 Pulse 104 beats/minute PaCO2 30 mmHg
While assessing an elderly client, the nurse finds the client to be confused, hypotensive, with an increased respiratory rate. Upon further review, the nurse identifies the nurse has not been eating in the last 48 hours. What does the nurse suspect? -Pneumonia -Deep vein thrombosis -Pneumothorax -Compartment syndrome
Pneumonia
When a client is being evaluated for possible somatic symptoms, which assessment questions should the nurse ask to assess for common functional syndromes? Select all that apply. -"Do you have a history of experiencing a tightness in your chest?" -"Can you tell me more about the jaw pain you have reported?" -"Would you say that you are chronically fatigued?" -"Have you ever been diagnosed with irritable bowel syndrome?" -"Would you say that you experience an uncommon amount of muscle pain?"
-"Would you say that you are chronically fatigued?" -"Have you ever been diagnosed with irritable bowel syndrome?" -"Would you say that you experience an uncommon amount of muscle pain?" -"Can you tell me more about the jaw pain you have reported?"
What would be included in a shift assessment? Select all that apply. -Auscultation of lungs on a client with pneumonia -Health history assessment -Pain relief after medicating -Inspection of skin on a client that is not mobile -Palpating pulses on a client with PVD
-Auscultation of lungs on a client with pneumonia -Inspection of skin on a client that is not mobile -Palpating pulses on a client with PVD
A mental status examination consists of various components. Which assessment data is associated with cognitive function? Select all that apply. -Client is dressed appropriately for the weather. -Client is able to successfully multiple 24 times 32. -Client correctly names the last three presidents of the United States. -Client's verbal skills are appropriate for age. -Client reports frequently seeing a dead parent.
-Client is able to successfully multiple 24 times 32. -Client correctly names the last three presidents of the United States.
While performing a neurological assessment on a 56-year-old male, the nurse identifies the client may be experiencing a stroke. What symptoms would the nurse identified? Select all that apply. -Orientation x 3 -Hypotension -Difficulty following instructions -Slurred speech -Impaired vision
-Difficulty following instructions -Slurred speech -Impaired vision
During a shift assessment, the nurse suspects the client with a urinary tract infection may be experiencing sepsis. What symptoms might alert the nurse to this? Select all that apply. -Hypotension -Hypertension -Bradycardia -Elevated temperature -Tachycardia
-Hypotension -Tachycardia -Elevated temperature
The nurse is assessing an cognitively impaired older adult that is experiencing sleep disturbances and agitation. The nurse suspects the client is experiencing what? -Dementia -Delirum -Pain -Fear
-Pain
The nurse needs to assess the abdomen of a hospitalized client post gastrointestinal surgery. Place the following assessment steps in order as the nurse enters the client's room. -Perform a general survey of safety hazards. -Inspect the abdomen. -Palpate for tenderness. -Auscultate all four quadrants. -Document the findings.
-Perform a general survey of safety hazards. -Inspect the abdomen. -Auscultate all four quadrants. -Palpate for tenderness. -Document the findings.
Which of the following would put the client at risk for falls? Select all that apply. -Confusion -Palpitations -Diaphoresis -Dizziness -Hypotension
-hypotension -confusion -dizziness
Which situations should the nurse identify as being risk factors of the development of pressure sores? Select all that apply. -friction created by dragging the skin against bedlinen -shearing that occurs when sliding down in bed -moisture being allowed to accumulate on the skin -pressure that impairs capillary blood flow to the skin -restlessly changing position frequently
-pressure that impairs capillary blood flow to the skin -friction created by dragging the skin against bedlinen -shearing that occurs when sliding down in bed -moisture being allowed to accumulate on the skin
The client is experiencing severe sepsis. What assessment finding would the nurse expect? -1+ pulses -Blood pressure 140/80 -Heart rate 88 -Respiratory rate 14
1+ pulses
The nurse needs to assess the abdomen of a hospitalized client post gastrointestinal surgery. Place the following assessment steps in order as the nurse enters the client's room. Auscultate all four quadrants. Palpate for tenderness. Perform a general survey of safety hazards. Inspect the abdomen. Document the findings.
1. Perform a general survey of safety hazards. 2. Inspect the abdomen. 3. Auscultate all four quadrants. 4. Palpate for tenderness. 5. Document the findings.
The nurse administers pain medication to a client at 1600. At what time should the nurse return to reassess the client's pain level? -1630 -1730 -2000 -2030
1630
The nurse assesses the client's pulses to be normal. These would be documented how? -O -1+ -2+ -3+
2+
Which Glasgow Coma Score indicates the client is in a deep coma? -3 -8 -14 -15
3
Which Glasgow Coma Score indicates the client is in a deep coma? 3 8 14 15
3
The nurse suspects a client weighing 161 pounds may be exhibiting signs of sepsis. Which urinary output value indicates acute oliguria? -80 mL in past 2 hours -100 mL in past 2 hours -120 mL in past 2 hours -50 mL in past 2 hours
50 mL in past 2 hours
A hospitalized client experiences respiratory distress. The nurse should include which most appropriate client outcome in the plan of care? -Gas exchange with oxygen saturation greater than 85% -Pain level stabilized at client goal -Airway patent, breathing quiet, denies dyspnea -Client maintains safety; no falls
Airway patent, breathing quiet, denies dyspnea
The nurse is assessing an newly admitted client with a seizure disorder. The nurse would asses the client for what? -Aura -Delusions -Lightheadedness -Hallucinations
Aura
The nurse is performing an assessment on a client that is on postop day 2. The abdominal wound has pulled apart and the contents are spilling out. The nurse recognizes this as a what? -Abscess -Hernia -Dehiscence -Infection
dehiscence
The nurse enters a client's hospital room and the client asks the nurse to raise him up in the bed. What is the nurse's best action? -Lower the head of bed and pull the client up with both arms. -Push the client toward the head of the bed to prevent back injury. -Place the client in trendelenburg so the client can slide up in bed. -Call for help and use the draw sheet to move the client.
Call for help and use the draw sheet to move the client.
The nurse is performing a shift assessment on a client who just received a central line. Which finding should the nurse report as a complication of central line placement? -Decreased breath sounds unilaterally -Temperature of 97.6 degrees Fahrenheit -Respiratory rate of 20 breaths per minute -Elevated blood pressure while lying in bed
Decreased breath sounds unilaterally
Which of the following assessment findings should the nurse interpret as increasing a patient's risk for falls? -New onset of localized infection -Recent decline in cognitive status -Persistent fatigue -Obesity
Recent decline in cognitive status
What symptom(s) found during assessment would cause the nurse to suspect the client may be experiencing sepsis? Select all that apply. -Temperature greater than 102 °F (38.9 °C) -Respiratory rate 36 breaths per minute -Altered mental state -Heart rate 75 beats per minute -Blood pressure 124/72 -Documented or suspected infection
Temperature greater than 102 °F (38.9 °C) Respiratory rate 36 breaths per minute Altered mental state Documented or suspected infection
Which statement regarding the location of landmarks is associated with the assessment of the respiratory system? -The lower end of an endotracheal tube is usually at the level of T2. -The sternal angle is approximately at the same level as the manubrium. -The most protruding vertebral prominens are located at C4. -The inferior tip of the scapula usually lies at the level of the 7th rib.
The inferior tip of the scapula usually lies at the level of the 7th rib.
Which of the following nursing actions best protects patient safety? -Limiting the size of the care team -Maintaining bed rest for patients whenever possible -Administering prophylactic antibiotics as ordered -Using two separate identifiers with each patient
Using two separate identifiers with each patient
Which of the following changes in a hospitalized patient's status should prompt you to perform an urgent assessment? -Increase in heart rate from 80 beats per minute (BPM) to 110 BPM -Expressed dissatisfaction with the quality of care -A new onset of confusion -A newly developed rash accompanied by pruritus
a new onset of confusion
Which of the following assessment findings would need to be reported the physician immediately? -Constipation -Chest fullness, heartburn and nausea after eating -Diarrhea and flatus -Absent bowel sounds, vomiting undigested food
absent bowel sounds, vomiting undigested food
When planning an assessment of an older adult in a hospital setting, you shouldprioritize which of the following variables? -Patient expectations for care -Age-related physiologic changes -The presence of family members at the bedside -Decreased expectations for recovery
age related physiologic changes
A hospitalized client experiences respiratory distress. The nurse should include which most appropriate client outcome in the plan of care? -Gas exchange with oxygen saturation greater than 85% -Airway patent, breathing quiet, denies dyspnea -Client maintains safety; no falls -Pain level stabilized at client goal
airway patent, breathing quiet, denies dyspnea
An elderly client is complaining of weakness and fatigue. The nurse suspects the client may be experiencing what? -Anemia -Signs of cancer -Normal aging process -Depression
anemia
An elderly client is complaining of weakness and fatigue. The nurse suspects the client may be experiencing what? -Depression -Normal aging process -Signs of cancer -Anemia
anemia
When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address? -Wound infection -Urinary tract infection -Aspiration pneumonia -Bacteremia
aspiration pneumonia
A hospitalized client is prescribed a short course of corticosteroids. The client is placed on sliding scale regular insulin. The nurse should routinely assess which laboratory value while the client is hospitalized? -Hemoglobin A1C level -Capillary blood glucose -Hematocrit level -Sodium electrolytes
capillary blood glucose
The client is experiencing septic shock. What assessment finding would the nurse expect to find? -Blood pressure 128/76 -Capillary refill greater than 2 seconds -Warm extremities -Normal temperature
capillary refill greater than 2 seconds
A client with a right subclavian central line develops fever of 101.0 degrees Fahrenheit. What is the nurse's best action? -Discontinue the central line. -Culture the tip of the central line. -Flush all ports with heparin solution. -Check the insertion site for redness.
check the insertion site for redness
The nurse is performing the Romberg test. Which of the following indicate a normal finding? -Client stands erect with minimal swaying -Client sways when eyes are closed -Client prevents himself from falling -Client maintains balance when walking
client stands erect with minimal swaying
Which assessment notation describes a client's level of consciousness? -"Client was inattentive to the questions being asked." -"Client answered questions both logically and coherently." -"Client was alert and cooperative during the assessment." -"Client demonstrated difficulty with recalling events occurring this morning."
client was alert and cooperative during the assessment
During the admission assessment, the nurse identifies the client has a history of Raynaud's. What assessment finding would the nurse expect to find? -Cool legs bilaterally -Cool leg on one side -Cold fingers and hands -Capillary refill less than 2 seconds
cold fingers and hands
The nurse should immediately notify the healthcare provider if which assessment finding is obtained on a hospitalized client? -Temperature 37.5 Celsius -Cyanotic left lower extremity -Moderate amount dark blood on dressing -Heart rate of 105 beats per minute
cyanotic left lower extermity
The nurse is performing a shift assessment on a client who just received a central line. Which finding should the nurse report as a complication of central line placement? -Respiratory rate of 20 breaths per minute -Temperature of 97.6 degrees Fahrenheit -Elevated blood pressure while lying in bed -Decreased breath sounds unilaterally
decreased breath sounds unilaterally
The diagnosis of superficial phlebitis increases the client's risk for which vascular disorder? -deep vein thrombosis -compartment syndrome -acute lymphangitis -acute cellulitis
deep vein thrombosis
A client with an elevated blood pressure asks the nurse why he is not taking his blood pressure medication from home while he is hospitalized. The nurse reviews the orders and discovers that indeed the client is not taking his usual blood pressure medication. Which preventive measure was most likely omitted on admission? -SBAR communication -Medication reconciliation -High-alert labeling -Client teaching of side effects
medication reconciliation
The nurse assesses the client to have a Glasgow Coma score of 15. The nurse anticipates what degree of impairment? -None -Minimal -Coma -Deep coma
none
Which of the following assessment parameters should you prioritize in an urgentassessment? -Patency of the patient's airway -Pain level and location -Cognitive status -Fluid balance
patency of the patients airway
An auditory hallucination is considered an alteration in which component of the mental health assessment? -perceptions -thought processes -affect -insight
perceptions
An auditory hallucination is considered an alteration in which component of the mental health assessment? -thought processes -perceptions -affect -insight
perceptions
A client presents to the emergency department complaining of new onset chest pain. What is the priority action of the nurse? -Collect client's health history. -Reconcile current medications. -Place on cardiac monitor. -Record the client's allergies.
place on cardiac monitor
The nurse is assessing an elderly client that has been hospitalized with weakness. The nurse identifies that what disease is most likely to occur in an elderly hospitalized client? -Pressure ulcers -Pneumonia -Sepsis -Bleeding
pneumonia
The nurse assesses a client's indwelling urinary catheter bag and observes cloudy urine. The client also complains of lower back pain. What is the nurse's best action? -Encourage the client to increase PO fluid intake. -Record the findings as expected for a client with an indwelling catheter. -Flush the catheter tubing with sterile normal saline. -Prepare to obtain a urine specimen for culture.
prepare to obtain a urine specimen for culture
Which situations should the nurse identify as being risk factors of the development of pressure sores? Select all that apply. -pressure that impairs capillary blood flow to the skin -friction created by dragging the skin against bedlinen -shearing that occurs when sliding down in bed -moisture being allowed to accumulate on the skin -restlessly changing position frequently
pressure that impairs capillary blood flow to the skin friction created by dragging the skin against bedlinen shearing that occurs when sliding down in bed moisture being allowed to accumulate on the skin
An elderly cognitively impaired client has been eating poorly. Because of this, what should the nurse assess for each shift? -Falls -Aspiration -Venous thromboembolism -Pressure ulcers
pressure ulcers
The nurse places the stethoscope at the second and third left intercostal space close to the sternum to assess what heart sound? -Pulmonic -Aortic -Left ventricular -Right ventricular
pulmonic
The nurse places the stethoscope at the second and third left intercostal space close to the sternum to assess what heart sound? -Pulmonic -Right ventricular -Left ventricular -Aortic
pulmonic
Upon assessment, the nurse finds the client's systolic blood pressure to be 88; heart rate of 121 and a lactate level of 2.3. The nurse recognizes the client is experiencing what? -Severe sepsis -Increased intracranial pressure -Cardiac dysrhythmias -Surgical site infection
severe sepsis
When performing a shift assessment, the nurse identifies the client has on a sequential compression device. What must the nurse then assess? -Skin -Breath sounds -Temperature -Blood sugar
skin
A quality control nurse is reviewing client satisfaction survey comments. The nurse is most likely to read which positive remark? -"I felt safe because staff nurses made daily rounds." -"The nurses kept the room doors open at all times." -"Most nurses asked me yes or no questions when seeking information." -"Staff nurses report at the bedside so I can hear the information."
staff nurses report at the bedside so i can hear the information
The nurse is caring for a client hospitalized for surgical repair of a foot fracture. How should the nurse assess the muscle strength in the client's feet? -Ask client to rotate the ankles in a clockwise fashion. -Palpate the dorsalis pedis areas in each foot. -Tell client to push feet against resistance. -Check for edema on plantar and dorsal surfaces.
tell client to push feet against resistance
When deciding whether to delegate a task to another care provider, you should prioritize what factor? -The demands of your current workload -The other person's present workload -The other person's level of skill and education -The patient's preferences
the other persons level of skill and education
When deciding whether to delegate a task to another care provider, you should prioritize what factor? -The other person's level of skill and education -The demands of your current workload -The other person's present workload -The patient's preferences
the other persons level of skill and education
Which observation confirms to the nurse that the client is experiencing a normal inspiration? -The abdominal wall is pushed inward. -Air can be heard moving out of the tracheobronchial tree. -The diaphragm is seen relaxing. -The thoracic cavity enlarges.
the thoracic cavity enlarges
Which observation confirms to the nurse that the client is experiencing a normal inspiration? -The thoracic cavity enlarges. -The abdominal wall is pushed inward. -Air can be heard moving out of the tracheobronchial tree. -The diaphragm is seen relaxing.
the thoracic cavity enlarges
When assessing for apocrine gland function, the nurse would assess for moisture where on the client's body? -palms of the hands -face -soles of the feet -underarms
underarms
The nurse is admitting a client to the surgical unit. The nurse should begin the general survey at which point in the admission process? -After the physical examination is completed -When the demographic data has been documented -Upon meeting the client and family members -As soon as any visitors have left the room
upon meeting the client and family members
When you enter the room of a hospitalized patient, you note that the patient is guarding her left leg, which is swollen and reddened. You should identify the signs and symptoms of what complication of hospitalization? -Decreased mobility -Sepsis -Venous thromboembolism -Fluid imbalance
venous thromboembolism
The client presents with pain, swelling, redness and warmth in his left leg. Based upon the assessment, the nurse suspects the client has what? -Peripheral arterial disease -Venous thromboembolism -Surgical site infection -Injury related to a fall
venous thromboemobolism
Upon assessment, the nurse finds the left calf to be red and warm. The client states it only "aches". The nurse would suspect what? -Venous thromboembolism -Arterial occlusion -Neuropathy -Venous obstruction
venous thromboemobolism