A nurse is recovering a client who is postoperative. In an effort to educate the client about being at risk for developing a venous thromboembolism (VTE), which of the following actions should the client avoid?
Explanation & Rationale
Choice A reason: Wearing a sequential compression device is recommended post-surgery to prevent venous thromboembolism. It promotes venous blood flow in the legs, reducing stasis, a key risk factor for clot formation. This action supports VTE prevention by enhancing circulation, making it appropriate and not to be avoided. Choice B reason: Elevating the feet post-surgery aids venous return, reducing blood pooling in the legs, a risk factor for venous thromboembolism. This action decreases stasis and supports circulation, making it a beneficial practice for VTE prevention, not one to avoid in postoperative recovery. Choice C reason: Massaging the legs should be avoided post-surgery, as it risks dislodging a formed clot, potentially causing a pulmonary embolism. In clients at risk for VTE, massage can mobilize thrombi from deep veins, leading to life-threatening complications, making this a critical action to avoid. Choice D reason: Ambulating soon after surgery is encouraged to prevent venous thromboembolism. Early mobility promotes venous blood flow, reducing stasis, a major risk factor for clot formation. This action supports circulation and VTE prevention, making it appropriate and not something to avoid in postoperative care.