A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Apply elastic stockings before the client gets out of bed.

Apply warm, moist packs to the client's lower legs.

Have the client ambulate as often as possible.

Administer NSAIDs every 4 to 6 hours.

Answer and Explanation

The Correct Answer is C

A: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

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Correct Answer is A

Explanation

A. Yogurt is a good source of calcium and is a suitable recommendation for a client with a low calcium level during pregnancy.
B. Long-grain rice is not particularly high in calcium.
C. Avocados are a healthy food but are not a significant source of calcium.
D. Peanut butter is not a significant source of calcium.

A. Gingivitis B. Varicose veins C. Dysuria D. Leukorrhea

Correct Answer is C

Explanation

A. Gingivitis is common during pregnancy and should be addressed but is not as urgent as dysuria.
B. Varicose veins, while uncomfortable, are not an immediate priority.
C. Dysuria (painful or difficult urination) can be a sign of a urinary tract infection, which is a concern during pregnancy. Prompt reporting and treatment are essential to prevent
complications.
D. Leukorrhea (an increase in vaginal discharge) is common in pregnancy and is not a cause for immediate concern.

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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Nursing Test Bank

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Explanation

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Correct Answer is C

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