A nurse is assisting with the care of an adolescent.

Exhibits

Complete the following sentence by using the lists of options.

The adolescent is at risk for developing

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evidenced by

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A. Administer aspirin for pain. Aspirin is an antiplatelet medication and is not appropriate for managing pain in a client with deep vein thrombosis (DVT). Additionally, aspirin can increase the risk of bleeding, especially in clients receiving anticoagulant therapy, so it should be avoided in this context.
B. Apply an ice pack to the affected extremity for 20 min every 2 hr. While ice packs may be helpful in reducing swelling, applying ice is generally not recommended for DVT because it may cause vasoconstriction and increase the risk of thrombosis. It’s more important to follow appropriate medical treatment guidelines for DVT management.
C. Massage the affected extremity every 4 hr. Massaging the affected extremity is contraindicated in cases of DVT, as it can dislodge the thrombus, potentially leading to a pulmonary embolism or other serious complications.
D. Initiate bed rest. Initiating bed rest is the appropriate action for a client with DVT. Bed rest helps prevent further clot formation and reduces the risk of complications. The healthcare provider will also typically order anticoagulant therapy to manage the condition safely. The client should avoid movement of the affected leg until medically advised otherwise.

A. Ask the facility chaplain to visit the client. While spiritual support can be beneficial, the nurse should first acknowledge and respect the client’s decision. Offering a chaplain visit without the client's request may not align with their personal beliefs or needs.
B. Discuss alternative treatment methods with the client. End-stage kidney disease has limited treatment options beyond dialysis or kidney transplantation. If the client has already decided to stop dialysis, discussing alternatives may not be appropriate unless the client expresses interest. The priority is to support their decision and provide comfort-focused care.
C. Tell the client she should discuss this decision with her family. While family involvement can be helpful, the decision to continue or stop dialysis is ultimately the client’s right. Encouraging discussion is appropriate, but the nurse should not imply that the client must consult others before making a personal healthcare decision.
D. Support the client's decision to stop the treatment. Autonomy is a fundamental ethical principle in nursing. Clients have the right to make their own healthcare decisions, including the choice to discontinue dialysis. The nurse should offer emotional support, provide palliative care options, and ensure the client’s comfort during the transition.