A patient who has been immobile for five days reports new calf tenderness and unilateral swelling. Which action should the nurse take?
Correct answer: C. Keep the patient in bed and notify the provider
- A. Massage the calf to improve circulation
- B. Encourage vigorous walking immediately
- C. Keep the patient in bed and notify the provider
- D. Apply a tight bandage around the swollen leg
Explanation
New unilateral calf pain and swelling may indicate deep vein thrombosis, so the patient should remain at rest and receive prompt medical assessment. Massage and vigorous walking can dislodge a clot, and a tight bandage may worsen circulation.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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