walking slowly in the hall with assistance to prevent pneumonia
sitting up in the chair for all meals and during visitation time
Number 1 is correct.
Clients with DVT should be on bed rest to prevent movement of the DVT and pressure changes that occur with walking and other weight-bearing activities. The affected extremity should be elevated. Placing the bed in reverse Trendelenburg will increase pressure on the affected extremity. Walking is contraindicated for clients with DVT; while preventing hospital-acquired pneumonia is important, client safety takes priority over pneumonia prevention at this time. The client may still use an incentive spirometer and practice coughing and deep breathing to clear the lungs without ambulating. Sitting up in a chair is also contraindicated until the DVT has resolved and the health care provider has prescribed activity for the client.