A client has developed postsurgical muscle weakness after the removal of a brain tumor. To minimize this client's risk for developing deep vein thrombosis (DVT), the nurse initially:

Question

1. Applies antiembolism hose.
2. Instructs the client to perform leg exercises.
3. Includes regular leg massages in the client's care plan.
4. Determines through questioning whether the client has a history of DVT.

Answer 1

Applies antiembolism hose.

Rationale: If the patient is experiencing motor weakness postoperatively, great care must be taken to avoid DVT due to immobility. The use of antiembolism hose or pneumonic stockings is highly recommended, and they should be applied as soon as possible. The client with muscle weakness is not capable of performing leg exercises. Massaging the legs is not an appropriate nursing intervention and may result in serious injury to the client. Determining a history of DVT is not an intervention.