章节:Comprehensive Test 3

SC
正确指数:91% 正确的次数:10 错误的次数:1 7950---A client newly diagnosed with deep vein thrombosis (DVT) of the left lower left extremity is on bed rest. The nurse should instruct the unlicensed assistive personnel (UAP) providing routine morning care for the client to:

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. check that the legs are in a low, dependent position.
2. ensure that the lower extremity is elevated.
3. massage the leg and foot with lotion.
4. place one or two pillows under the client’s left knee.

登录后参与评论

0人参与,0条评论

暂无评论,来抢沙发


×


正确答案:
2. ensure that the lower extremity is elevated.
解释 :
DVT causes edema; therefore, the UAP should elevate the extremity to promote venous return. Dependent positioning is appropriate for a client with arterial insufficiency. Placing a pillow under the knee would position the foot in a low position, and pressure behind the knee may obstruct venous flow. Massaging the extremity could dislodge the thrombus.