A nurse is contributing to the plan of care for a client who is admitted with a thrombosis (DVT) of the left leg. Which of the following interventions should be included in the plan?
1. Apply ice to the extremity
2. Monitor platelet levels
3. Restrict oral fluids.
Answer (2)
For a client admitted with DVT, interventions should focus on managing symptoms and preventing complications. Applying ice to the extremity is beneficial, while monitoring platelet levels may be necessary depending on clinical context. However, restricting oral fluids is not recommended as it can lead to dehydration.
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A Deep Vein Thrombosis (DVT) is a medical condition where a blood clot forms in one of the deep veins, typically in the legs. This condition can cause pain, swelling, and other complications if not managed properly.
In planning care for a client with a DVT, it's crucial to focus on interventions that support blood flow and prevent further clotting. Let's evaluate each of the interventions mentioned:
Apply ice to the extremity : This is generally NOT recommended for DVT. Cold therapy might initially seem like a good idea to reduce swelling; however, it can cause blood vessels to constrict, potentially worsening circulation in the area already affected by the clot.
Monitor platelet levels : Monitoring platelet levels can be useful if the client is on anticoagulant therapy, such as heparin, which may cause changes in platelet count or lead to conditions like heparin-induced thrombocytopenia (HIT). Therefore, this is a relevant intervention for monitoring the side effects of the treatment employed.
Restrict oral fluids : This is not typically recommended for DVT management. Adequate hydration is essential in maintaining blood flow and reducing the risk of further clot formation. Therefore, restricting fluids is generally not part of the usual care plan.
Based on the standard practices for managing DVT, the most relevant intervention among the options provided is 2. Monitor platelet levels . Monitoring, along with medication and encouragement of gentle movement (under a healthcare provider's guidance), can help manage and prevent complications related to DVT.
