Author Question: The client is on strict bed rest following hip surgery. What nursing intervention would support ... (Read 48 times)

dmcintosh · **on:** Jul 23, 2018

The client is on strict bed rest following hip surgery. What nursing intervention would support vascular health?

1. Place pillows under the unaffected knee for support.
2. Position the bed to flex the knees at least 20 degrees.
3. Have the client alternately flex and extend the feet several times a day.
4. Keep the client in a prone position for at least 20 minutes twice a day.

Question 2

The nurse has calculated the client's toe brachial pressure index (TBPI) as 0.58. This client is at risk for the development of ___________.

What will be an ideal response?

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Placing pillows under the knees supports the development of clotting.
Rationale 2: Positioning the bed so that the knees are in more than 15 degrees of flexion supports the development of clotting.
Rationale 3: Alternating flexion and extension of the feet will help keep clots from forming in the extremities. Active contraction and relaxation of calf muscles is also used for this purpose.
Rationale 4: The client would not be placed in the prone (on abdomen) position.

Answer to Question 2

Standard Text:
Correct Answer: peripheral vascular disease
Rationale : A TBPI less than 0.64 indicates risk for development of presence of peripheral vascular disease. This client should have further evaluation and testing.