The nurse is planning an inservice for nursing assistive personnel on ways to prevent the development of deep vein thrombosis (DVT) in older clients. Which information must the nurse include in this presentation? Select all that apply.
1. Turn bed-bound clients and perform range-of-motion exercises.
2. Clients should be assisted to walk frequently when they are able.
3. Remind clients to ambulate short distances to avoid fatigue.
4. Apply fitted support stockings to older clients as prescribed.
5. Assist older clients to walk as soon as possible after surgery.
1. Turn bed-bound clients and perform range-of-motion exercises.
2. Clients should be assisted to walk frequently when they are able.
4. Apply fitted support stockings to older clients as prescribed.
5. Assist older clients to walk as soon as possible after surgery.
Explanation: 1. An intervention to prevent the formation of deep vein thrombosis in the older client includes turning bed-bound clients at least every 2 hours. Exercising the extremities is essential.
2. Ambulation, including while hospitalized, is essential to reducing DVT incidence.
3. Older clients should be encouraged to elevate the legs when sitting, without placing anything under the knees, to prevent the formation of deep vein thrombosis. Ambulation is only restricted by the client's tolerance or activity as prescribed.
4. An intervention to prevent the formation of deep vein thrombosis in the older client includes applying fitted support stockings as prescribed.
5. An intervention to prevent the formation of deep vein thrombosis in the older client includes assisting to walk as soon as possible after surgery.
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