A client diagnosed with a deep vein thrombosis is receiving intravenous heparin. The nurse would identify which of the following as being the priority outcome for this client?
1. The client will not disturb the intravenous infusion.
2. The client will not experience bleeding.
3. The client will comply with dietary restrictions.
4. The client will keep the right leg elevated on two pillows.
2. The client will not experience bleeding.
Rationale:
An absence of bleeding is a priority outcome for any client receiving anticoagulant therapy. Disturbing the intravenous line could relate to bleeding, but this does not directly correlate with heparin. Dietary restrictions are important but not as high a priority as an absence of bleeding. Elevation of the affected extremity is important but not as high a priority as an absence of bleeding.
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