The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention should the nurse implement to reduce the risk of thrombophlebitis?
1. Leg exercises
2. Coughing every 2 hours
3. Ambulating every 2 hours
4. Oxygen by mask
ANSWER
Correct Answer: 1
Rationale 1: Leg exercises may be implemented in the PACU to help prevent thrombophlebitis.
Rationale 2: Coughing every 2 hours does not prevent thrombophlebitis.
Rationale 3: Ambulation is not done in the postanesthesia care unit.
Rationale 4: Oxygen does not prevent thrombophlebitis.
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