A client scheduled for surgery has a history of venous stasis problems. Which strategies should the nurse consider to reduce the risk of postoperative venous stasis?
1. Pneumatic compression device
2. Sequential compression device
3. Antiembolism stockings
4. Getting the client out of bed as soon as possible
5. Keeping the legs lower than the level of the heart
1, 2, 3, 4
Rationale 1: Pneumatic compression devices help to compress the legs, improving venous return to the heart.
Rationale 2: Sequential compression devices help to compress the legs, improving venous return to the heart.
Rationale 3: Antiembolism stockings exert external pressure to compress the veins of the legs, decrease venous pooling in the extremities, and facilitate return of blood to the heart.
Rationale 4: Getting the client out of bed as soon as possible contributes to improving venous return by exercising the muscles, which squeeze the veins and improves blood return.
Rationale 5: Lowering the legs below the level of the heart would increase venous stasis, whereas elevating the legs will improve venous return.
Global Rationale: Pneumatic and sequential compression devices help to compress the legs, improving venous return to the heart. Antiembolism stockings exert external pressure to compress the veins of the legs, decrease venous pooling in the extremities, and facilitate return of blood to the heart. Getting the client out of bed as soon as possible contributes to improving venous return by exercising the muscles, which squeeze the veins and improves blood return. Lowering the legs below the level of the heart would increase venous stasis, whereas elevating the legs will improve venous return.
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