Difficulty: Medium
Average Score: 83%
Simulated
A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism (VTE)?
Correct answer
B
Rationale
The correct answer is B: Apply sequential compression devices. This is because sequential compression devices help prevent VTE by promoting venous blood flow and reducing stasis in the lower extremities. The devices intermittently inflate and deflate, mimicking the natural muscle pump mechanism, which helps prevent blood clots from forming. Massaging the client's legs (A) can dislodge blood clots and potentially lead to VTE. Elevating the client's legs above heart level (C) can also increase the risk of VTE by reducing venous return. Administering acetaminophen (D) does not directly prevent VTE.