A nurse is planning care for a client who has a deep vein thrombosis in the right leg. Which of the following actions should the nurse include in the plan?
Explanation & Rationale
Choice A reason: Maintaining the client on strict bed rest is no longer the standard of care. Early ambulation is encouraged once anticoagulation therapy is initiated, as prolonged immobility increases the risk of further clot formation and complications such as pulmonary embolism. Choice B reason: Elevating the affected extremity is correct because it promotes venous return, reduces swelling, and decreases pain. This intervention helps prevent clot extension and supports circulation without increasing the risk of embolization. Choice C reason: Applying cold compresses is not recommended. Cold therapy does not improve venous circulation and may cause vasoconstriction, worsening discomfort and impairing healing. Choice D reason: Massaging the muscle of the affected extremity is contraindicated. Massage can dislodge the clot, leading to a life-threatening pulmonary embolism.