A patient who had a hysterectomy 2 days ago, reports tenderness in her left calf. The nursing assessment reveals the following: L-calf 17.5", R-calf 14", L-thigh 32", R-thigh 28", and a shiny, warm, and reddened left leg. Which intervention is priority? (select all that apply).
A. Maintain bedrest.
B. Encourage ambulation TID.
C. Encourage bilateral leg exercises.
D. Apply bilateral antiemolism stockings.
E. Apply right antiembolism stocking.
F. Apply warm moist heat as ordered.
- A. Maintain bedrest.
- E. Apply right antiembolism stocking.
- F. Apply warm moist heat as ordered.
Bedrest is essential to prevent emboli development. It is OK to apply stocking to nonaffected leg to prevent venous stasis. Heat provides pain relief and increases circulation.