A nurse is caring for a client who is 12 hours postoperative following an open abdominal surgery. Which interventions should the nurse implement to reduce the client's risk of developing a venous thromboembolism (VTE)? Select all that apply.
- Apply sequential compression devices (SCDs) to the lower extremities.Cevap
- Encourage the client to perform active ankle and foot exercises hourly while awake.Cevap
- CPlace a rolled pillow directly under the client's knees to relieve incisional tension.
- Assist the client with early ambulation as prescribed by the healthcare provider.Cevap
- EVigorously massage the client's calves if they report bilateral leg achiness.
Cevap
The correct interventions are applying sequential compression devices, encouraging active leg exercises, and assisting with early ambulation.
Applying sequential compression devices, encouraging active leg exercises, and assisting with early ambulation are standard, evidence-based nursing interventions. These actions mechanically promote venous return, activate the calf muscle pump, and prevent blood stasis, thereby significantly reducing the risk of venous thromboembolism in immobile postoperative clients.
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Venous Thromboembolism (VTE) Prophylaxis