The nurse is providing discharge instructions to an elderly client going home after having a total knee replacement. The nurse should include which of the following to help prevent the development of a thrombosis or pulmonary embolism?

Question

1. Ensure adequate rest periods and limit ambulation
2. Place pillows under the knees when in bed
3. Limit fluids
4. Continue with leg exercises and use compression stockings

Answer 1

4. Continue with leg exercises and use compression stockings

Rationale:
A client being discharged after having orthopedic surgery is at increased risk for pulmonary embolism. The nurse should instruct the client to continue with leg exercises and use compression stockings to reduce the risk of deep vein thrombosis formation. The client should be encouraged to ambulate, avoid placing pillows under the knees, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.