A nurse is caring for a client who is 12 hr postpartum and has deep-vein thrombosis of the left leg. The client is receiving anticoagulant therapy. Which of the following actions should the nurse take?
Explanation & Rationale
A. Administer aspirin for pain. Aspirin is an antiplatelet medication and is not appropriate for managing pain in a client with deep vein thrombosis (DVT). Additionally, aspirin can increase the risk of bleeding, especially in clients receiving anticoagulant therapy, so it should be avoided in this context. B. Apply an ice pack to the affected extremity for 20 min every 2 hr. While ice packs may be helpful in reducing swelling, applying ice is generally not recommended for DVT because it may cause vasoconstriction and increase the risk of thrombosis. It’s more important to follow appropriate medical treatment guidelines for DVT management. C. Massage the affected extremity every 4 hr. Massaging the affected extremity is contraindicated in cases of DVT, as it can dislodge the thrombus, potentially leading to a pulmonary embolism or other serious complications. D. Initiate bed rest. Initiating bed rest is the appropriate action for a client with DVT. Bed rest helps prevent further clot formation and reduces the risk of complications. The healthcare provider will also typically order anticoagulant therapy to manage the condition safely. The client should avoid movement of the affected leg until medically advised otherwise.