A nurse is assisting with the plan of care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Choice A reason: Monitoring platelet levels is essential in a client with deep vein thrombosis receiving anticoagulants like heparin, as low platelets (heparin-induced thrombocytopenia) increase bleeding or clotting risks. This ensures safe therapy, making it the correct intervention to include in the care plan for effective management.

Choice B reason: Restricting oral fluids is contraindicated in deep vein thrombosis, as dehydration increases blood viscosity, worsening clot risk. Adequate hydration promotes circulation, making this incorrect, as the nurse should encourage fluid intake, not restriction, to prevent further thrombosis in the client.

Choice C reason: Applying ice is not standard for deep vein thrombosis, which benefits from warmth to promote circulation and reduce swelling. Ice may worsen stasis, making this incorrect, as the nurse should prioritize interventions like anticoagulation monitoring over inappropriate temperature therapies for this condition.

Choice D reason: Vasodilating medications are not used for deep vein thrombosis, which requires anticoagulants to prevent clot progression. Vasodilation does not address thrombosis, making this incorrect, as monitoring platelets is more relevant to ensure safe anticoagulant therapy in managing the client’s condition.

Choice A reason: Stopping beta blockers abruptly if fatigue occurs is dangerous, as it can cause rebound hypertension or arrhythmias. Fatigue is a common side effect, but patients should consult providers, making this incorrect, as the nurse should teach safe management, not sudden discontinuation.

Choice B reason: Beta blockers are not used for quick relief in hypertensive emergencies, which require rapid-acting drugs like nitroprusside. They manage chronic hypertension, making this incorrect, as the nurse should clarify their role in long-term control, not acute crisis management.

Choice C reason: Grapefruit juice affects some cardiac drugs but not beta blockers significantly, and it does not enhance absorption. This is incorrect, as the nurse should focus on side effects like bradycardia, not irrelevant drug-food interactions, for effective beta blocker patient education.

Choice D reason: Beta blockers slow heart rate by blocking beta-adrenergic receptors, potentially causing bradycardia. This is a major teaching point, as patients must monitor for symptoms like dizziness, making it the correct choice to include in education for safe beta blocker use.