A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Which of the following instructions should the nurse include?
A.
Participate in range-of-motion exercises
B.
Use an incentive spirometer every 4 hours
C.
Remain on bed rest for 24 hours following the procedure
D.
Place a pillow under your knees while in bed
The Correct answer and Explanation is:
Correct Answer: A. Participate in range-of-motion exercises
Explanation:
Promoting circulation during the postoperative period is crucial to prevent complications such as deep vein thrombosis (DVT), pulmonary embolism, and other circulatory issues. Among the options provided, the correct instruction that the nurse should include in preoperative teaching is “Participate in range-of-motion exercises.”
Range-of-motion (ROM) exercises involve moving the joints through their full range, either actively by the patient or passively by someone else. These exercises are essential in the postoperative period to promote blood circulation, prevent blood stasis, and reduce the risk of venous thromboembolism (VTE). Movement stimulates muscle contractions, which in turn help propel blood through the veins, preventing clot formation. Additionally, ROM exercises help maintain joint flexibility and prevent stiffness.
Option B: Use an incentive spirometer every 4 hours focuses on respiratory function, not circulation. While using an incentive spirometer is critical for preventing atelectasis and promoting lung expansion after surgery, it does not directly address the promotion of circulation.
Option C: Remain on bed rest for 24 hours following the procedure is incorrect. Prolonged bed rest is a risk factor for DVT due to decreased mobility, leading to venous stasis. Early ambulation and movement are encouraged to enhance circulation and reduce the risk of complications.
Option D: Place a pillow under your knees while in bed is also incorrect. Placing a pillow under the knees can obstruct venous return and increase the risk of DVT. Elevating the legs without causing knee flexion or placing a pillow under the calf is a better approach if leg elevation is necessary.
In summary, participating in ROM exercises is the most appropriate instruction to promote circulation postoperatively. It helps prevent complications by enhancing blood flow, reducing the risk of clot formation, and promoting overall recovery.