A patient has been treated for mild phlebitis. Which discharge teaching should the nurse provide?
1. "You should stop smoking."
2. "Do not travel by air."
3. "Increase your fluid intake."
4. "When you travel, stop frequently and walk around."
5. "Adopt a low-fat diet."
1,3,4,5
Rationale 1: Smoking increases platelet aggregation and promotes the formation of thrombi.
Rationale 2: Air travel is permitted as long as the patient takes precautions against prolonged immobility.
Rationale 3: Increasing fluid intake helps to prevent dehydration, which increases risk for thrombi development.
Rationale 4: Prolonged sitting, as in a car, limits blood flow to the lower extremities and venous return, promoting the formation of emboli.
Rationale 5: Low-fat diets are recommended as part of a healthy lifestyle.
Global Rationale: Smoking increases platelet aggregation and promotes the formation of thrombi. Increasing fluid intake helps to prevent dehydration, which increases risk for thrombi development. Prolonged sitting, as in a car, limits blood flow to the lower extremities and venous return, promoting the formation of emboli. Low-fat diets are recommended as part of a healthy lifestyle. Air travel is permitted as long as the patient takes precautions against prolonged immobility.
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