A nurse is caring for a client who had an abdominal hysterectomy. Which intervention best prevents postoperative thrombosis?
Deep breathing and coughing exercises daily
Removal of compression stockings at night
Floating the heels while lying in bed
Leg exercises ten times per hour while awake
The Correct Answer is D
A. Deep breathing and coughing exercises daily: These are important for preventing respiratory complications but do not specifically address the prevention of thrombosis.
B. Removal of compression stockings at night: Compression stockings should generally be worn continuously to prevent venous stasis and thrombosis.
C. Floating the heels while lying in bed: This helps prevent pressure ulcers but is not a primary intervention for preventing thrombosis.
D. Leg exercises ten times per hour while awake: This is the correct choice. Regular leg exercises improve circulation and help prevent venous stasis, thereby reducing the risk of thrombosis.
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Related Questions
Correct Answer is D
Explanation
A. Increased cardiac output: In older adults, cardiac output typically decreases, not increases, and this has a minor impact on nutritional status.
B. An increase in GI motility and absorption: GI motility and absorption generally decrease with age, not increase, which can affect nutritional status.
C. Constant snacking between meals that results in obesity: Obesity is less common in healthy older adults compared to issues related to malnutrition or economic factors.
D. Living alone on a fixed income: This can significantly impact nutritional status due to potential financial constraints affecting food availability and quality.
Correct Answer is B
Explanation
A. Hypercholesterolemia: This condition primarily affects cholesterol levels and is not directly associated with phosphorus imbalances. It does not typically cause hypophosphatemia.
B. Malnutrition: This is the correct choice. Malnutrition can lead to hypophosphatemia (low serum phosphorus levels) due to inadequate dietary intake of phosphorus and impaired absorption.
C. Renal insufficiency: Renal insufficiency generally causes hyperphosphatemia (high serum phosphorus levels) due to the kidneys' reduced ability to excrete phosphate, not hypophosphatemia.
D. Hypoparathyroidism: This condition is more commonly associated with hypocalcemia (low calcium levels) rather than hypophosphatemia. In some cases, hypoparathyroidism can cause elevated phosphorus levels, but not typically hypophosphatemia.
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