The nurse is caring for a client with a high risk for pulmonary embolism (PE). Which prevention measures does the nurse add to the client's care plan? (Select all that apply.)
a. Use antiembolism stockings.
b. Massage calf muscles per client request.
c. Maintain supine position with the legs flat.
d. Turn every 2 hours if client is in bed.
e. Refrain from active range-of-motion ex-ercises.
A, D
Both antiembolism stockings (or sequential pressure devices) and a turning schedule can help prevent venous thromboembolism, which can lead to PE. Massaging the calves is discouraged because this can cause a clot to break loose and travel to the lungs. Legs should be elevated when in bed, and the client should perform active range of motion (ROM) if able. If the client is unable to perform active ROM, the nurse should provide passive ROM.
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