A patient with spinal cord injury has a nursing diagnosis of altered mobility, which increases the risk of deep vein thrombosis (DVT)
Which of the following would be included as an appropriate nursing intervention to prevent a DVT from occurring?
A) Placing the patient on a fluid restriction
B) Applying thigh-high elastic stockings
C) Administering an antifibrinolytic agent
D) Assisting the patient with PROM exercises
Ans: B
Feedback: It is important to promote venous return to the heart and prevent venous stasis in a patient with altered mobility. Applying elastic stockings will aid in the prevention of a DVT. The patient should not be placed on a fluid restriction because a dehydrated state increases the risk of clotting throughout the body. Antifibrinolytic agents cause the blood to clot, which is absolutely contraindicated in this situation.
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