A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include?
A.
Wearing loose, non-constricting stockings
B.
Applying cool compresses to her legs
C.
Taking an NSAID tablet daily
D.
Flexing her knees and feet frequently
The Correct answer and Explanation is:
The correct answer is D. Flexing her knees and feet frequently.
Explanation:
Anticoagulant therapy is crucial for managing deep-vein thrombosis (DVT) and preventing complications such as pulmonary embolism. Along with medication, lifestyle and behavioral adjustments play a vital role in preventing further clot formation and aiding recovery. Here’s a detailed explanation of why flexing the knees and feet is the most appropriate recommendation:
Flexing Knees and Feet
Flexing the knees and feet frequently helps in improving blood circulation in the lower extremities. When a person flexes their knees and feet, it encourages venous return from the legs back to the heart. This movement helps in reducing blood pooling in the veins, which is essential for preventing the formation of new clots or the worsening of existing ones. This simple exercise is especially beneficial for patients who are less mobile or on prolonged bed rest, as it mimics the muscle contractions that would normally occur during walking. Regular movement, including leg exercises, can help mitigate the risk of developing complications from DVT.
Why Not the Other Options?
A. Wearing loose, non-constricting stockings: While it’s important to avoid constrictive clothing, patients with DVT are often prescribed graduated compression stockings, not just loose stockings. These stockings are designed to apply pressure in a graduated manner, which helps improve venous return and reduce swelling. Loose stockings might not provide the necessary support and could be less effective.
B. Applying cool compresses to the legs: This option does not address the underlying issue of DVT or help in reducing the risk of further clot formation. Cool compresses might be used to alleviate swelling or discomfort but are not a primary intervention for DVT management.
C. Taking an NSAID tablet daily: Nonsteroidal anti-inflammatory drugs (NSAIDs) are not typically recommended for DVT management. Anticoagulants are the primary medication for treating and preventing DVT. NSAIDs might not be effective in preventing clot formation and could even increase the risk of bleeding complications when combined with anticoagulants.
In summary, flexing the knees and feet frequently is a simple yet effective measure to enhance blood circulation and prevent further complications in patients with DVT undergoing anticoagulant therapy. This practice complements medication and other recommended interventions for managing and recovering from DVT.