Perioperative ISB Case Study quiz (Ignatavicius, 2022) A 45-year-old male client had a partial colectomy
Perioperative ISB Case Study quiz (Ignatavicius, 2022) A 45-year-old male client had a partial colectomy with descending colostomy secondary to colon cancer 3 days ago. The client had a history of colorectal polyps and ulcerative colitis and a body mass index (BMI) of 42. He is married and has three children, works as a computer programmer, and was independent prior to surgery. The shift report indicates that the client had a difficult recovery after surgery and has been on bedrest since admission. The nurse’s focused assessment finding are consistent with venous thromboembolism and include unilateral lower extremity pitting edema and pain. Venous duplex ultrasonography confirms the client has a left lower extremity deep vein thrombosis. For each finding below, indicate if the nursing action is indicated (appropriate or necessary), contraindicated (could be harmful), or non-essential (makes no difference or is not necessary) for the client’s care at this time. Use ice packs to decrease leg swelling and pain. Administer supplemental oxygen via a nonrebreather mask, place the client’s legs in a dependent position when sitting in a chair, place the client’s legs in a dependent position when sitting in a chair, instruct the client to gradually increase activty and to
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