The client is scheduled for surgery, and has a history of venous ...

[charchew]

The client is scheduled for surgery, and has a history of venous stasis problems. Which strategies would the nurse consider to reduce the risk of postoperative venous stasis?
 
  Select all that apply.
 
  1. Pneumatic compression device
  2. Sequential compression device
  3. Antiembolism stockings
  4. Getting the client out of bed as soon as possible
  5. Keeping the legs lower than the level of the heart

Question 2

Which action by the nurse is appropriate when testing for Homans' sign?
 
  1. Pointing the client's toes down
  2. Having the client point the toes up toward the calf
  3. Flexing the client's toes as wide apart as possible
  4. Rotating the client's foot

[xiaomengxian]

Answer to Question 1

Correct Answer: 1,2,3,4

Pneumatic and sequential compression devices help to compress the legs, improving venous return to the heart. Antiembolism stockings exert external pressure to compress the veins of the legs, decrease venous pooling in the extremities, and facilitate return of blood to the heart. Getting the client out of bed as soon as possible contributes to improving venous return by exercising the muscles, which squeeze the veins and improves blood return. Lowering the legs below the level of the heart would increase venous stasis, whereas elevating the legs will improve venous return.

Answer to Question 2

Correct Answer: 2

Homans' sign is tested when the client dorsiflexes the foot. It is considered positive if the client reports deep pain with this movement. Lack of pain is considered a negative Homans' sign, and this is the normal finding.

[charchew]

Correct answers!

[xiaomengxian]

Great! Please up vote