NCLEX-RN · Question #584
To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should include:
The correct answer is D. Have the client tighten and relax leg muscles several times daily. (A) Dangling the client's legs over the edge of the bed will contribute to stasis and pooling of blood and increases the risk of thrombus formation. (B) Massaging the client's calves could result in dislodging an embolus. (C) Decreased movement will contribute to pooling of…
Question
To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should include:
Options
- ADangle the client's legs over the edge of the bed every shift.
- BMassage the client's calves briskly every shift.
- CKeep the client's legs extended and discourage any movement.
- DHave the client tighten and relax leg muscles several times daily.
How the community answered
(37 responses)- A3% (1)
- B5% (2)
- C3% (1)
- D89% (33)
Explanation
(A) Dangling the client's legs over the edge of the bed will contribute to stasis and pooling of blood and increases the risk of thrombus formation. (B) Massaging the client's calves could result in dislodging an embolus. (C) Decreased movement will contribute to pooling of blood and increased risk of venous (D) Tightening and relaxing leg muscles increases circulation and decreases the risk of venous
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