Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?
Encouraging frequent ambulation and leg exercises.
Administering sedatives to promote restfulness.
Applying cold compresses to the lower extremities.
Limiting fluid intake to prevent swelling.
The Correct Answer is A
Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.
Incorrect choices:
b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.
c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.
d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Encouraging deep breathing and coughing techniques helps prevent respiratory complications such as atelectasis and pneumonia in patients with impaired mobility.
Incorrect choices:
a. Administering oxygen therapy may be indicated in some cases, but it does not directly address the prevention of respiratory complications associated with impaired mobility.
b. Incentive spirometry exercises are useful for promoting lung expansion and preventing atelectasis, but they are not the highest priority intervention for preventing respiratory complications.
d. Prophylactic antibiotics are not routinely administered to all patients with impaired mobility. Their use should be based on specific indications determined by the healthcare provider.
Correct Answer is A
Explanation
Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.
Incorrect choices:
b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.
c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.
d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.
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