The nurse is caring for a client in the immediate postoperative ...

[corkyiscool3328]

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]

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.

[corkyiscool3328]

Excellent

[lkanara2]

TYSM