رجل عمره ٥٢ سنة دخل بجلطة في الوريد العميق للفخذ الأيسر بعد رحلة طيران طويلة، ويأخذ هيبارين وريدياً. ساقه متورمة قليلاً، والعلامات الحيوية مستقرة. يشتكي من شد عضلي في نفس الساق. أي تصرف من مساعد التمريض يحتاج تدخل الممرضة؟

A 52-year-old man admitted with a left femoral DVT after a long flight is on IV heparin. The leg is mildly swollen and vitals are stable. He complains of a muscle cramp in the same leg. Which action by the nursing assistant requires the nurse to intervene?

1. Massaging the client’s leg because he reports a cramp
2. Elevating the client’s leg on a pillow while in bed
3. Giving the client an electric razor instead of a blade
4. Helping the client sit in the chair as the provider allowed

Answer: A) Massaging the client’s leg because he reports a cramp. Massage can dislodge part of the clot and cause a pulmonary embolism. The other actions are correct: mobilising is allowed once anticoagulated per the plan, an electric razor reduces bleeding, and elevation eases swelling.