Reduction of Risk PotentialQuestion 1654 of 2368

Which finding on a client's lower extremities should the nurse report to the provider immediately?

  1. Pulses that are present and equal on both sides
  2. Warmth, redness, and swelling in one calf
  3. Capillary refill of less than 2 seconds
  4. Skin that is warm and dry on both feet
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Correct answer: Warmth, redness, and swelling in one calf

One-sided calf warmth, redness, and swelling suggest a deep vein thrombosis, which risks a life-threatening pulmonary embolism. The other findings are expected.

Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Cardiovascular Assessment: Objective Assessment. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026