Which unsafe action should a nurse instruct a postoperative client to avoid in order to reduce the risk of venous thromboembolism (VTE)?

Instructing a postoperative client to avoid massaging her legs is crucial in reducing the risk of venous thromboembolism (VTE). Massaging the legs can dislodge existing thrombi (blood clots) potentially leading to serious complications such as pulmonary embolism if a clot travels to the lungs. The physical action of massage may generate enough force to disturb venous return and aggravate the clot, worsening the client’s condition.

In contrast, elevating the feet promotes venous return and can help decrease swelling, while flexing the ankles encourages blood flow in the veins of the lower extremities, which can further prevent VTE. Early ambulation post-surgery is also widely recommended to enhance circulation and reduce the likelihood of clot formation. Thus, avoiding leg massage is a critical directive in VTE prevention strategies for postoperative clients.