A postpartal client recovering from a deep vein thrombosis is being discharged. About which of the following topics should the nurse instruct this client? (Select all that apply.)
1. Avoid crossing the legs
2. Avoid prolonged standing or sitting
3. Take frequent walks
4. Take a daily aspirin dose of 650 mg
5. Avoid long car trips
1. Avoid crossing the legs
2. Avoid prolonged standing or sitting
3. Take frequent walks
Rationale:
The client should be instructed to avoid crossing the legs because it increases pressure on the veins of the lower extremities. The client should be instructed also to avoid prolonged standing or sitting, which contributes to venous stasis. The client should also be instructed to take frequent walks to promote venous return. The client should not be instructed to take a daily aspirin because it will increase anticoagulant activity and could interact with other medication prescribed for the treatment of the deep vein thrombosis. The client does not need to be instructed to avoid long car trips but rather to take frequent breaks during long car trips.
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