Difficulty: Medium
Average Score: 76%
Simulated
A nurse is planning care for a client who has quadriplegia. Which of the following actions should the nurse take to prevent a pulmonary embolism (PE)? (Select all that apply.)
Correct answer
B,C,D
Rationale
Applying elastic compression stockings (B), performing passive range of motion exercises (C), and assessing legs for redness (D) are correct. These actions promote venous return, prevent stasis, and allow early detection of DVT, reducing PE risk. Massaging calves (A) can dislodge clots, and pillows under knees (E) impair circulation, increasing clot risk.