MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

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Thrombus formation is a danger for all postoperative clients. The nurse should act independently to prevent this complication by:

Encouraging adequate fluids
Applying elastic stockings
Gently massaging the legs with lotion
Performing active-assistive leg exercises

Explanation

Answer - D - Performing active-assistive leg exercises. Inactivity causes venous stasis, hypercoagulability, and external pressure against the veins, all of which lead to thrombus formation. Early ambulation or exercise of the lower extremities reduces the occurrence of this phenomenon.

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