Which action will the nurse implement to decrease the risk of clot formation in an older patient on bed rest?
a. Assess peripheral pulses.
b. Encourage passive leg exercises.
c. Limit fluid intake.
d. Position pillows behind the knees.
ANS: B
Using active or passive leg exercises for a patient on bed rest will prevent clot formation. Assessing pulses is not a preventive measure. Adequate hydration promotes fluidity of the blood and decreases the risk of clot formation. Placing pressure against the popliteal space will increase the risk of clot formation.
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