Question

A client was admitted to the unit from the postoperative recovery room. He has a history of Venous Thrombus. Nursing measures to prevent the formation of a clot are to : (SELECT ALL THAT APPLY)
A.) Ambulate the client as soon as ordered.
B.) Encourage the client to exercise his legs, such as making circular movements with his feet to increase circulation.
C.) Encourage the client to rest in bed when he is dismissed.
D.) Request an order for a pneumatic compression device if the client does not have one.
E.) Check Homans' sign every shift.
F.) Limit his fluid intake to 200 mL per shirt.

Answer 1

B. Encourage the client to exercise his legs