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    ATI LPN Nurs 113 Med Surg Perfusion proctored Exam
    Select All That Apply

    A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for venous thromboembolism. Which of the following interventions should the nurse include in the patient’s plan of care? (Select all that apply)

    Explanation & Rationale

    Choice A reason: Measuring thighs monitors edema but is not a preventive intervention for venous thromboembolism. Active measures like leg exercises and compression stockings directly reduce clotting risk, making this incorrect, as it is a monitoring, not preventive, action in the postoperative care plan. Choice B reason: Massaging calves is contraindicated in venous thromboembolism risk, as it may dislodge clots, causing embolism. Preventive measures like exercise and compression are safer, making this incorrect, as massage increases harm risk rather than preventing thrombosis in postoperative clients. Choice C reason: Frequent leg exercises activate the muscle pump, promoting venous return and reducing stasis, a key factor in venous thromboembolism prevention. This is a critical intervention for postoperative clients, making it a correct choice to include in the care plan to lower clotting risk. Choice D reason: Encouraging fluid intake prevents dehydration, which increases blood viscosity and clotting risk. Adequate hydration supports circulation, reducing venous thromboembolism risk in postoperative clients, making this a correct intervention to include in the care plan for effective prevention. Choice E reason: Elastic compression stockings apply graduated pressure, enhancing venous return and preventing stasis, a major risk factor for venous thromboembolism. This is a standard postoperative intervention, making it a correct choice to include in the care plan to reduce clotting risk.

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