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    Ati lpn level med surg proctored exam (Delaware county school)

    A nurse is caring for a client who is postoperative following a total knee replacement. Which of the following actions should the nurse implement to prevent deep vein thrombophlebitis?

    Explanation & Rationale

    A. Increased fluid intake helps prevent hemoconcentration, thereby reducing the risk of clot formation and promoting circulation. B. Massaging the calf is contraindicated because it can dislodge a thrombus and cause a pulmonary embolism. C. Keeping the knee flexed impairs venous return and increases the risk for clot formation. D. Prolonged bed rest increases venous stasis and the risk of DVT; early ambulation is preferred.

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