Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?

Encouraging frequent ambulation and leg exercises.

Administering sedatives to promote restfulness.

Applying cold compresses to the lower extremities.

Limiting fluid intake to prevent swelling.

Answer and Explanation

The Correct Answer is A

Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.

Incorrect choices:

b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.

c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.

d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Performing frequent and thorough skin assessments is essential for identifying early signs of pressure ulcers and implementing appropriate preventive measures in patients with limited mobility.

Incorrect choices:

b. Applying petroleum jelly to vulnerable areas may create a barrier but does not address the underlying issue of pressure and does not substitute for regular skin assessments and preventive measures.

c. Placing the patient on an air mattress can provide pressure redistribution, but it should be used based on individualized assessment and healthcare provider recommendations. Skin assessments remain essential.

d. Encouraging the patient to sit for prolonged periods increases the risk of pressure ulcers. Adequate repositioning and regular mobilization should be prioritized to prevent skin breakdown.

A. Encouraging the patient to remain in bed to conserve energy. B. Assisting the patient with passive range of motion exercises. C. Restricting the patient's movement to prevent falls. D. Using restraints to ensure patient safety during ambulation.

Correct Answer is B

Explanation

Assisting the patient with passive range of motion exercises promotes joint mobility and prevents contractures and muscle atrophy when the patient is unable to move independently.

Incorrect choices: a. Encouraging the patient to remain in bed perpetuates immobility and can lead to further complications such as deconditioning and reduced muscle strength.

c. Restricting the patient's movement can worsen immobility-related complications and increase the risk of falls. Appropriate interventions should be implemented to facilitate safe mobility.

d. Restraints should be avoided as much as possible and only used as a last resort to ensure patient safety. Restraints do not promote mobility and can have negative physical and psychological effects.

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Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Correct Answer is A

Explanation

Which nursing intervention promotes mobility for a patient who has been on bed rest for an extended period?

Correct Answer is B

Explanation

Which patient is at the greatest risk for developing deep vein thrombosis (DVT) due to immobility?

Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?

Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?

Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?

Which intervention should the nurse prioritize for a patient with impaired mobility to prevent respiratory complications?

Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?

Which intervention should the nurse implement to prevent contractures in a patient who is immobile?