In caring for a pregnant woman with sickle cell anemia with increased blood viscosity,the nurse is concerned about the development of a thromboembolism. Nursing care would include:

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Applying antiembolic stockings would be an appropriate nursing action. The nurse would monitor the client for Homans' sign. Massaging the calves is not appropriate because this may dislodge a thromboembolism into the bloodstream (if one is present). Appropriate nursing care would include maintaining adequate hydration,not restricting fluid intake.

In Caring for a Pregnant Woman with Sickle Cell Anemia