護理師照護疑似深層靜脈栓塞（DVT）的患者，哪些評估結果符合該診斷？（選所有適合的）
A nurse is caring for a client with suspected deep vein thrombosis (DVT). Which assessment findings are consistent with DVT? (Select all that apply.)
- AUnilateral leg edema✓ 正解單側下肢水腫
- BWarmth of the affected extremity✓ 正解患肢發熱
- CPallor of the distal limb遠端肢體蒼白
- DLocalized calf pain✓ 正解局部小腿疼痛
- EDilated superficial veins✓ 正解淺表靜脈擴張
深層靜脈栓塞（DVT）是臨床常見的血管併發症。其典型症狀包括單側肢體腫脹（Unilateral edema）、局部溫度升高（Warmth）、疼痛（Tenderness）以及因靜脈回流受阻而出現的淺層靜脈擴張（Dilated veins）。護理師在評估時，應注意這些單側臨床發現，並警惕其可能引發肺栓塞（Pulmonary embolism）的風險。
Deep vein thrombosis typically presents with unilateral signs due to venous obstruction, including edema, localized warmth, pain, and dilated superficial veins as collateral circulation develops. Pallor is more indicative of arterial insufficiency rather than venous thrombosis, making it an inconsistent finding for DVT. The nurse should assess for these specific unilateral inflammatory and obstructive signs while monitoring for complications such as pulmonary embolism.