Question

A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk of thrombus development? Select all.

A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often

Answer 1

To reduce the risk of thrombus development in a postop client, nursing interventions such as not using the Valsalva maneuver, applying elastic stockings, and assisting the client to change positions often can be implemented.

Step-by-step explanation:

To reduce the risk of thrombus development in a postop client, there are several nursing interventions that can be implemented:

1. Instruct the client not to use the Valsalva maneuver: The Valsalva maneuver, which involves holding breath and straining, can increase the risk of thrombus formation by temporarily disrupting blood flow.
2. Apply elastic stockings: Elastic stockings help promote venous return from the legs to the heart by providing compression to the calf muscles.
3. Assist the client to change positions often: Frequent position changes help prevent stasis of blood in the legs and reduce the risk of thrombus formation.