A client with a history of deep venous thrombosis (DVT) is seen in the clinic. Since the client is planning a long airplane flight, the nurse instructs the client to:

A)

restrict intake of fluids during the flight.
B)

perform isometric exercises of the lower extremities every 2 hours.
C)

do deep-breathing exercises every hour while awake.
D)

keep the lower extremities elevated as much as possible during the flight.


B
Explanation:

A)

Contraction of the skeletal muscles will help to open valves in the veins and propel blood back to the heart, thereby preventing stasis of blood. Fluids should be encouraged. Deep breathing will not help to promote venous return of blood. Keeping the legs elevated will help some, but does not provide the pumping action that isometric exercise would.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)

Contraction of the skeletal muscles will help to open valves in the veins and propel blood back to the heart, thereby preventing stasis of blood. Fluids should be encouraged. Deep breathing will not help to promote venous return of blood. Keeping the legs elevated will help some, but does not provide the pumping action that isometric exercise would.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)

Contraction of the skeletal muscles will help to open valves in the veins and propel blood back to the heart, thereby preventing stasis of blood. Fluids should be encouraged. Deep breathing will not help to promote venous return of blood. Keeping the legs elevated will help some, but does not provide the pumping action that isometric exercise would.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)

Contraction of the skeletal muscles will help to open valves in the veins and propel blood back to the heart, thereby preventing stasis of blood. Fluids should be encouraged. Deep breathing will not help to promote venous return of blood. Keeping the legs elevated will help some, but does not provide the pumping action that isometric exercise would.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential

Nursing

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