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Zorluk: KolayReduction of Risk Potential

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.

  1. Apply prescribed sequential compression devices to the legsCevap
  2. B
    Place pillows directly under the client's knees for support
  3. Encourage the client to perform active range-of-motion foot exercisesCevap
  4. D
    Elevate the knee gatch on the client's bed
  5. Administer prescribed prophylactic doses of low-molecular-weight heparinCevap

Cevap

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.

Adım Adım Çözüm

1
Identify the client's primary risk factor from the clinical scenario.
The client is postoperative and on strict bed rest.
Immobility and surgical trauma significantly increase the risk for venous thromboembolism (VTE) due to venous stasis and hypercoagulability.
2
Evaluate each potential intervention for its effect on venous circulation.
Compression devices, foot exercises, and anticoagulants maintain flow or prevent clotting; placing pressure on the popliteal space (via pillows or knee gatch) impedes flow.
Effective risk reduction requires interventions that actively maintain venous circulation and avoid positioning that creates vascular compression.

Anahtar Kavram

Deep Vein Thrombosis (DVT) Prophylaxis and Safe Positioning
Tahmini Süre:45s
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Konular

Reduction of Risk Potential

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