The nurse is aware that patients who are immobile are at increased risk of developing deep vein thromboses (DVTs).Because of this,what action does the nurse take?

Question

Quizplus · Accepted Answer

The nurse measures bilateral calf circumference and records it daily as an assessment for deep vein thrombosis (DVT).Homans's sign,or calf pain on dorsiflexion of the foot,should not be assessed in patients when a DVT is suspected;it is no longer considered a reliable indicator in assessing for DVT,and it is present in other conditions.The patient's elastic stockings or sequential compression devices,or both,should be removed every 8 hours and the calves observed for redness,warmth,and tenderness.Bilateral calf (not ankle)circumferences should be measured daily to detect unilateral increases that may be an early indication of thrombosis.

The Nurse Is Aware That Patients Who Are Immobile Are