Author Question: The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention ... (Read 78 times)

corkyiscool3328 · **on:** Jul 23, 2018

The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention would the nurse implement to reduce the risk of thrombophlebitis?

1. Leg exercises
2. Cough every 2 hours
3. Ambulate every 2 hours
4. Oxygen by mask

Question 2

The nurse is preparing to apply antiemboli stockings to a postoperative client. What should be done first, before applying the stockings?

1. Measure the calf.
2. Assess for circulatory problems.
3. Assess the client's blood pressure.
4. Clean the stockings.

bookworm410 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Leg exercises may be implemented in the PACU to help prevent thrombophlebitis.
Rationale 2: Coughing every 2 hours does not prevent thrombophlebitis.
Rationale 3: Ambulation is not done in the post anesthesia care unit.
Rationale 4: Oxygen does not prevent thrombophlebitis.

Answer to Question 2

Correct Answer: 2
Rationale 1: Measuring the calf is the first step of implementing antiemboli stockings.
Rationale 2: Before applying antiemboli stockings, determine any potential or present circulatory problems and the surgeon's orders involving the lower extremities.
Rationale 3: Assessing the blood pressure is not done before applying antiemboli stockings.
Rationale 4: The client should be given clean stockings, the nurse should not have to wash stockings before using.