Which computer documentation indicates that activities to prevent postoperative venous stasis were performed correctly?
A.
Leg exercises not performed because of placement of antiembolism hose.
B.
Antiembolism stockings removed hourly during leg exercises.
C.
Client demonstrates ability to move all extremities well.
D.
Antiembolism stockings on, leg exercises performed hourly.
The correct answer and Explanation is :
The correct answer is D. Antiembolism stockings on, leg exercises performed hourly.
Explanation:
Preventing postoperative venous stasis is crucial in reducing the risk of complications such as deep vein thrombosis (DVT) and pulmonary embolism. Venous stasis occurs when blood flow in the veins slows down, which can lead to clot formation. To mitigate this risk, several interventions are recommended, including the use of antiembolism stockings and regular leg exercises.
Antiembolism Stockings: These are designed to apply graduated compression to the legs, which helps promote venous return to the heart and prevents blood pooling in the veins. It is important that these stockings are applied correctly and remain on during periods of immobility.
Leg Exercises: Encouraging patients to perform leg exercises, such as ankle pumps and leg lifts, is another key strategy. These exercises enhance muscle activity, which helps pump blood through the veins and prevents stasis.
In option D, the documentation confirms that both interventions are being performed correctly. The antiembolism stockings are in place, ensuring that there is adequate compression to support venous return. Additionally, the performance of leg exercises on an hourly basis indicates active engagement in promoting circulation.
In contrast, option A suggests that leg exercises were not performed due to the presence of antiembolism stockings, which is not appropriate. Option B is misleading, as while removing stockings for leg exercises is sometimes necessary, it should be done judiciously and according to protocols. Option C, while indicating that the client can move extremities well, does not specifically confirm that the preventative measures are in place.
Overall, option D provides a comprehensive indication that both preventative measures are being implemented effectively, making it the best choice for ensuring activities to prevent postoperative venous stasis were performed correctly.