The nurse conducts discharge teaching for a postpartum client who is diagnosed with deep vein thrombosis (DVT). Which statements indicate accurate understanding of the information presented? Select all that apply

Question

1. "I will cross my legs while I sit and watch TV in the evening."
2. "I will wear supportive stockings if I have to stand for long periods of time."
3. "I will only have to continue taking Coumadin for 1 month once I am home."
4. "If I develop bleeding gums, I should contact my healthcare provider."
5. "I should plan to elevate my legs during times of rest."

Answer 1

2, 4, 5
Explanation:
1. The client would be instructed not to cross the legs while sitting as this can increase venous stasis which further increases the client's risk for more DVTs. This statement indicates the need for further education.
2. The use of supportive stockings if the client has to stand for long periods of time is recommended when diagnosed with DVT. This statement indicates correct understanding of the information presented.
3. Clients diagnosed with a DVT will require warfarin (Coumadin) therapy for 2 to 6 months, not 1 month, after discharge. This statement indicates the need for further education.
4. Bleeding of the gums while on warfarin (Coumadin) therapy can be an indication of a dose that is too large and would be reported to the healthcare provider. This statement indicates correct understanding of the information presented.
5. The postpartum client who is diagnosed with DVT should plan to elevate the legs during times of rest. This statement indicates correct understanding of the information presented.