The nurse in the surgical unit is caring for a 52-year-old female client.
0800:Day 1 after an abdominal hysterectomy under spinal anesthesia. Feels light touch on both feet; moves both ankles and all toes with full strength. Enoxaparin 40 mg subcutaneously given at 0800, as prescribed once daily.
1430:Reports new tingling and numbness in both legs. Both feet are weak: cannot push down or pull up against the nurse's hand. Calves soft, equal in size and not tender. Abdominal dressing dry and intact.
The nurse has reviewed the Nurses' Notes and Vital Signs from 1430.
Complete the following sentence by choosing from the lists of options.
The client is at highest risk for as evidenced by .