A patient was instructed on exercises to perform as part of preoperative teaching. While recovering from surgery, the patient experiences a deep vein thrombosis (DVT)
Which preoperative exercise should the nurse identify as not having been effective for this patient?
1. leg exercises
2. deep breathing and coughing
3. use of incentive spirometry
4. splinting when coughing
Correct Answer: 1
The preoperative patient is taught leg exercises in order to reduce the onset of the complication deep vein thrombosis (DVT). In this case, the leg exercises were ineffective and did not prevent DVT from occurring. Deep breathing and coughing and use of incentive spirometry are helpful to prevent complications of pneumonia and atelectasis. Splinting when coughing is taught so that thoracic and abdominal incisions are maintained and protected from an increase in intra-abdominal pressure that occurs when coughing.
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