Which nursing measure is appropriate to prevent thrombophlebitis in the recovery period after a cesarean birth?
a. Roll a bath blanket and place it firmly behind the knees.
b. Limit oral intake of fluids for the first 24 hours.
c. Assist the patient in performing gentle leg exercises.
d. Ambulate the patient as soon as her vital signs are stable.
C
Feedback
A The blanket behind the knees will cause pressure and decrease venous blood
flow.
B Limiting oral intake will produce hemoconcentration, which may lead to
thrombophlebitis.
C Leg exercises and passive range of motion promote venous blood flow and
prevent venous stasis while the patient is still on bed rest.
D The patient may not have full return of leg movements, and ambulating is
contraindicated.
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