The nurse is providing discharge instructions to an older adult client who is going home after having a total knee replacement. Which should the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism (PE)? Select all that apply.
A)Place pillows under the knees when in bed.
B)Use compression stockings.
C)Limit ambulation.
D)Limit fluids.
E)Continue with leg exercises.

Question

Quizplus · Accepted Answer

A)A client being discharged after having orthopedic surgery is at increased risk for PE. The nurse should instruct the client to use compression stockings and continue with leg exercises to reduce the risk of deep vein thrombosis formation. The client should avoid placing pillows under the knees, be encouraged to ambulate, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.
B)A client being discharged after having orthopedic surgery is at increased risk for PE. The nurse should instruct the client to use compression stockings and continue with leg exercises to reduce the risk of deep vein thrombosis formation. The client should avoid placing pillows under the knees, be encouraged to ambulate, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.
C)A client being discharged after having orthopedic surgery is at increased risk for PE. The nurse should instruct the client to use compression stockings and continue with leg exercises to reduce the risk of deep vein thrombosis formation. The client should avoid placing pillows under the knees, be encouraged to ambulate, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.
D)A client being discharged after having orthopedic surgery is at increased risk for PE. The nurse should instruct the client to use compression stockings and continue with leg exercises to reduce the risk of deep vein thrombosis formation. The client should avoid placing pillows under the knees, be encouraged to ambulate, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.
E)A client being discharged after having orthopedic surgery is at increased risk for PE. The nurse should instruct the client to use compression stockings and continue with leg exercises to reduce the risk of deep vein thrombosis formation. The client should avoid placing pillows under the knees, be encouraged to ambulate, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.

The Nurse Is Providing Discharge Instructions to an Older Adult