Answered

Which nursing intervention would be beneficial for a patient who currently has a deep vein thrombosis (DVT) resulting in thrombophlebitis? Select all that apply. One, some, or all responses may be correct.


AMeasure the circumference of the affected extremity every shift.
BInstruct the patient not to rub the affected extremity.
CEncourage the patient to perform leg exercises.
DAdminister anticoagulants to the patient.
EElevate the head end of the patient's bed.

Verified Answer :

Final answer:

The nursing interventions that are beneficial for a patient with a deep vein thrombosis (DVT) include measuring the circumference of the affected extremity, instructing the patient not to rub the extremity, encouraging leg exercises, and administering anticoagulants. Each of these actions helps to monitor, manage, and potentially improve the patient's condition. Elevating the head of the bed is not specific to DVT management.


Explanation:

Nursing Interventions for Deep Vein Thrombosis (DVT)

When caring for a patient with a deep vein thrombosis (DVT) that has resulted in thrombophlebitis, several nursing interventions can be beneficial. Here are the appropriate actions:

  1. Measure the circumference of the affected extremity every shift. This is important for monitoring any changes in the size of the limb, which can indicate worsening or improvement of the condition.
  2. Instruct the patient not to rub the affected extremity. Rubbing can exacerbate inflammation and increase the risk of dislodging the clot, hence it is crucial to discourage this action.
  3. Encourage the patient to perform leg exercises. While exercises should be gentle and approved by the healthcare provider, promoting movement can help improve circulation and reduce complications.
  4. Administer anticoagulants to the patient. Anticoagulation therapy is a standard treatment for DVT and can help prevent the formation of new clots.
  5. Elevate the head end of the patient's bed. While not directly contraindicated, this intervention is not primarily focused on managing DVT symptoms or promoting venous return. It may be more relevant for patients experiencing respiratory distress than for those with DVT alone.

Therefore, the applicable interventions in this scenario are A, B, C, and D. These options aim to monitor and alleviate symptoms related to DVT and ensure the patient's safety during recovery.


Learn more about Deep Vein Thrombosis Nursing Care here:

https://brainly.com/question/44153121


Related Questions