مريض لديه جلطة أوردة عميقة حديثة، ونزيف دماغي قبل أسبوع يمنع مضادات التخثر. أي إجراء يتوقعه الممرض لحمايته من الانصمام الرئوي؟

A client with a recent DVT had an intracranial bleed a week ago that precludes anticoagulation. Which intervention does the nurse expect to protect against PE?

1. IV thrombolytic therapy
2. An inferior vena cava filter
3. Low-dose oral warfarin
4. Gentle daily calf massage

Answer: B) An inferior vena cava filter. When anticoagulation is contraindicated by recent bleeding, an IVC filter can trap clots before they reach the lung; anticoagulation and filter removal are reconsidered later.