Ati lpn med surg cardiac proctored test
A nurse is contributing to the care plan for a client who has developed deep-vein thrombosis. Which of the following interventions should the nurse include?
Explanation & Rationale
A. Apply cold compresses to the affected extremity. Cold is generally not recommended for DVT; heat (warm, moist compresses) may relieve pain and promote circulation. Cold could increase vasoconstriction. B. Elevate the affected extremity when the client is resting. Elevation helps reduce venous stasis and edema in the affected limb and is an appropriate intervention for DVT. C. Massage the affected extremity gently. Massage is contraindicated because it could dislodge a thrombus and precipitate pulmonary embolism. D. Limit the client's fluid intake to 1 L/day. Clients with DVT should maintain adequate hydration unless otherwise restricted, because dehydration increases blood viscosity and thrombosis risk.
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