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    Ati Nur 268 Med Surg Proctored Exam

    A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

    Explanation & Rationale

    Choice A reason: Massaging the legs can dislodge a thrombus and lead to pulmonary embolism. It is contraindicated in clients at risk for VTE. Choice B reason: Flexing the ankles promotes venous return and is encouraged to prevent VTE. Choice C reason: Early ambulation is a key preventive strategy for VTE and should be encouraged. Choice D reason: Elevating the feet helps reduce venous stasis and is beneficial in preventing thromboembolism.

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