What intervention should the nurse caring for a postoperative patient perform to prevent thrombophlebitis?
A) Encourage the patient to perform coughing and deep-breathing exercises.
B) Apply compression stockings.
C) Massage the legs gently.
D) Encourage the patient to turn frequently.
Ans: B
Feedback: Compression stockings prevent thrombophlebitis by keeping pressure on the muscles, thereby promoting venous return. Coughing and deep-breathing exercises promote lung expansion and remove retained secretions, reducing the risk of atelectasis and pneumonia; however, they don't prevent thrombophlebitis. Legs shouldn't be massaged as it may dislodge any preexisting clots. Frequent turning prevents skin breakdown and enhances lung function but doesn't prevent thrombophlebitis. Other nursing measures to reduce the risk of thrombophlebitis include early ambulation, leg exercises while on bed rest, subcutaneous heparin, and encouraging adequate hydration as well as avoiding pressure on the back of the knees and deep veins of the legs.
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