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A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf.Besides the client seeing the provider, which of the following interventions should the nurse suggest?

A.

Massage the area.

B.

Elevate the leg.

C.

Apply cold compresses.

D.

Flex the knee while resting.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Massaging the area is not recommended as it can dislodge a clot and cause it to travel to the lungs, leading to a pulmonary embolism. This can be life-threatening and should be avoided.

 

Choice B rationale

 

Elevating the leg helps to reduce swelling and pain by promoting venous return. This is a standard intervention for managing symptoms of deep vein thrombosis (DVT) and helps prevent further complications.

 

Choice C rationale

 

Applying cold compresses is not effective for DVT. Cold compresses are generally used to reduce inflammation and pain in acute injuries, but they do not address the underlying issue of a blood clot.

 

Choice D rationale

 

Flexing the knee while resting can increase the risk of clot dislodgement and is not recommended. Keeping the leg straight and elevated is a safer approach to managing DVT symptoms.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Hemorrhage is not prevented by walking. Hemorrhage management involves monitoring and medical interventions, not ambulation.

Choice B rationale

Walking helps prevent blood clots by promoting circulation. Postoperative patients are encouraged to ambulate early to reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.

Choice C rationale

Breast engorgement is managed through breastfeeding or pumping, not walking. Ambulation does not directly affect breast engorgement.

Choice D rationale

Rupture of amniotic membranes is not relevant postpartum. This condition is related to labor and delivery, not postoperative care.

Correct Answer is C

Explanation

Choice C rationale

Checking the fundus helps determine if the uterus is contracting properly, which is essential in managing postpartum bleeding.

Choice A rationale

Measuring vital signs is important but not the first action to control bleeding.

Choice B rationale

Requesting a vaginal examination is necessary but not the immediate action to control bleeding.

Choice D rationale

Feeling for a full bladder is important but not the first action to control bleeding.

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