A postpartum patient has a history of thrombophlebitis. What should the nurse do to determine if the patient is developing this after delivery?
A) Assess for warmth in the legs.
B) Assess temperature every 4 hours.
C) Assess for calf redness and edema.
D) Palpate the feet for tingling or numbness.
C
Feedback:
Assess for thrombophlebitis by dorsiflexing the ankle and asking if pain occurs in the calf region. Assess also for redness in the calf area and edema of the ankle. Warmth is not an indication of a thrombophlebitis. Body temperature is not used to assess for thrombophlebitis. Feet numbness and tingling are not indications of thrombophlebitis.
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