A client had a cesarean birth 3 days ago. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, the nurse recognizes that the client will most likely be:
1. Encouraged to ambulate freely.
2. Given aspirin 650 mg by mouth.
3. Given Methergine IM.
4. Placed on bedrest.
4
Rationale:
1. Encouraging the client to ambulate freely would increase the inflammation.
2. Aspirin 650 mg by mouth has anticoagulant properties, but usually is not necessary unless complications occur.
3. Methergine is given only for postpartum hemorrhage, and would only cause vasoconstriction of an already inflamed vessel.
4. The client will likely be placed on bedrest because these symptoms indicate the presence of superficial thrombophlebitis. The treatment involves bedrest, elevation of the affected limb, analgesics, and use of elastic support hose.
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