A patient with spinal cord injury has a nursing diagnosis of altered mobility and the nurse recognizes the increased the risk of deep vein thrombosis (DVT)
Which of the following would be included as an appropriate nursing intervention to prevent a DVT from occurring?
A) Placing the patient on a fluid restriction as ordered
B) Applying thigh-high elastic stockings
C) Administering an antifibrinolyic agent
D) Assisting the patient with passive range of motion (PROM) exercises
Ans: B
Feedback:
It is important to promote venous return to the heart and prevent venous stasis in a patient with altered mobility. Applying elastic stockings will aid in the prevention of a DVT. The patient should not be placed on fluid restriction because a dehydrated state will increase the risk of clotting throughout the body. Antifibrinolytic agents cause the blood to clot, which is absolutely contraindicated in this situation. PROM exercises are not an effective protection against the development of DVT.
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