Which of the following is the best approach for the nurse to use to assess the presence of thrombosis in an immobilized patient?

Question

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Measuring the calf and thigh diameters can help assess for the presence of thrombosis as the affected limb may become swollen due to the formation of a blood clot. This is a common tool used in clinical practice known as the Wells score. Attempting to elicit Homans' sign, palpating foot temperature, and observing for skin turgor and hair loss may be useful in other assessments, but are not as effective in assessing for thrombosis in an immobilized patient.

Which of the Following Is the Best Approach for the Nurse