Question

the nurse is planning the care for a client at risk of developing pulmonary embolism. what nursing interventions should be included in the care plan? select all that apply. encouraging a liberal fluid intake using elastic stockings, especially when decreased mobility would promote venous stasis applying a sequential compression device instructing the client to dangle the legs over the side of the bed for 30 minutes, four times a day instructing the client to move the legs in a \pumping\ exercise

Explanation:

1. Encouraging a liberal fluid intake: Adequate fluid intake reduces blood viscosity, lowering the risk of clot formation (a precursor to pulmonary embolism).
2. Using elastic stockings (especially with decreased mobility): Elastic stockings promote venous return, reducing venous stasis and clot risk.
3. Applying a sequential compression device: This device mimics muscle contractions, promoting blood flow and preventing stasis.
4. Instructing the client to dangle the legs over the side of the bed for 30 minutes, four times a day: Dangling legs can increase venous stasis (blood pools in legs), so this is incorrect.
5. Instructing the client to move the legs in a "pumping" exercise: Pumping exercises (like ankle dorsiflexion/plantarflexion) activate calf muscles, promoting blood flow and reducing stasis.

Answer:

• Encouraging a liberal fluid intake
• Using elastic stockings, especially when decreased mobility would promote venous stasis
• Applying a sequential compression device
• Instructing the client to move the legs in a "pumping" exercise