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Chapter 22: Problem 91

The nurse can help reduce the risk of thrombi in the child with valvular heart disease by: A. Performing passive range-of-motion exercises B. Applying elastic wraps to the lower extremities C. Providing age-appropriate sedentary activities D. Offering additional fluids to prevent dehydration

Short Answer

Expert verified
Answer: B. Applying elastic wraps to the lower extremities

Step by step solution

01

Understanding the problem

In order to solve this problem, it is crucial to know what thrombi and valvular heart diseases are. Thrombi are blood clots that form within blood vessels, and valvular heart disease involves damage or defects to one of the heart's four valves, which maintain the direction of blood flow within the heart.
02

Analyzing the options

Now let us analyze each option: A. Performing passive range-of-motion exercises B. Applying elastic wraps to the lower extremities C. Providing age-appropriate sedentary activities D. Offering additional fluids to prevent dehydration
03

Evaluate Option A

Performing passive range-of-motion exercises helps in maintaining joint mobility and preventing stiffness but does not directly address the prevention of thrombi formation.
04

Evaluate Option B

Applying elastic wraps to the lower extremities can help improve venous blood return, reducing the risk of blood pooling and clot formation. This is a more appropriate intervention for preventing thrombi in a child with valvular heart disease.
05

Evaluate Option C

Providing age-appropriate sedentary activities may offer some limited benefits for overall well-being, but it does not directly help in preventing thrombi formation.
06

Evaluate Option D

Offering additional fluids to prevent dehydration may help to maintain blood volume and blood pressure, but dehydration is not the primary cause of thrombi formation in valvular heart disease.
07

Choose the correct option

Based on the evaluation above, the best action a nurse can take to help reduce the risk of thrombi in a child with valvular heart disease is: B. Applying elastic wraps to the lower extremities

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Most popular questions from this chapter

The physician has ordered blood pressures and pulses to be taken in all four extremities of a six-month old admitted with a congenital heart defect. Which congenital heart defect is associated with elevated blood pressures and bounding pulses in the upper extremities, but low blood pressures and faint pulses in the lower extremities: A. Ventricular septal defect B. Coarctation of the aorta C. Transposition of the great vessels D. Patent ductus arteriosus

A client with hydronephrosis has undergone an emergency nephrostomy. When caring for a client with a nephrostomy tube, the nurse should give priority to: A. Irrigating the tube every 4 hours B. Obtaining hourly output for 24 hours C. Clamping the tube for 15 minutes every two hours D. Reporting any red-tinged drainage from the tube

Which of the following interventions is contraindicated when treating a client with severe hypothermia? A. Placing the client in a horizontal position B. Administering warm intravenous fluids C. Administering heated oxygen D. Applying external heating devices

The physician has ordered a \(1 \%\) hydrocortisone topical preparation for an infant with diaper dermatitis. Which instruction should be given to the mother? A. Apply the medication in a thick layer B. Remove old applications with cold water C. Apply the medication only at bedtime D. Use cloth, instead of disposable, diapers

A newborn is admitted to the nursery with suspected diaphragmatic hernia. The nurse knows that the priority intervention will be: A. Ambuingto improve the oxygen saturation B. Offering sterile water to maintain hydration C. Positioning on the affected side D. Obtaining a baseline set of vital signs
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