A nurse is providing care for a postoperative client who is prescribed strict bed rest. To reduce the client's risk of developing deep vein thrombosis (DVT), which interventions should the nurse include in the plan of care? Select all that apply.
- Apply prescribed sequential compression devices to the legsAnswer
- BPlace pillows directly under the client's knees for support
- Encourage the client to perform active range-of-motion foot exercisesAnswer
- DElevate the knee gatch on the client's bed
- Administer prescribed prophylactic doses of low-molecular-weight heparinAnswer
Answer
The correct interventions are applying sequential compression devices, encouraging active range-of-motion foot exercises, and administering prophylactic low-molecular-weight heparin.
Applying sequential compression devices (SCDs), encouraging active range-of-motion foot exercises, and administering prophylactic low-molecular-weight heparin all actively promote venous return, reduce blood stasis, and prevent clot formation. These are standard, evidence-based risk reduction interventions for postoperative clients on bed rest.
Step-by-Step Solution
Key Concept
Deep Vein Thrombosis (DVT) Prophylaxis and Safe Positioning
Estimated Time:45s