The nurse is concerned that a patient recovering from a craniotomy for a malignant brain tumor is at risk for developing a deep vein thrombosis
What interventions would be appropriate for the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Apply graduated compression stockings as indicated.
2. Administer subcutaneous low-molecular weight heparin (LMWH) 5,000 units twice a day as prescribed.
3. Administer enoxaparin 40 mg each day.
4. Position with the legs of the bed elevated.
5. Perform bedside passive range of motion exercises every 8 hours.
1,2,3
Rationale 1: Graduated compression stockings have been shown to decrease the occurrence of venous thrombosis without increasing intracranial pressure.
Rationale 2: The use of low-molecular weight heparin is an alternative to the use of compression boots to reduce the risk for venous thrombosis.
Rationale 3: The use of enoxaparin 40 mg each day is an alterative to the use of compression boots to reduce the risk for venous thrombosis.
Rationale 4: Elevating the legs of the bed will not reduce the development of venous thrombosis in this patient.
Rationale 5: Passive range of motion exercises every 8 hours will not reduce the development of venous thrombosis.
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