What complication should a nurse prioritize for a client on complete bed rest?

For a client on complete bed rest, prioritizing the risk of thrombophlebitis is critical due to the implications of prolonged immobility. When a patient remains in one position for an extended period, the blood flow can slow down, increasing the likelihood of clot formation in the veins, particularly in the legs. This condition is further exacerbated if there are underlying risk factors such as dehydration, surgery, or history of venous thromboembolism.

While other complications, such as pneumonia, sepsis, and pressure ulcers are significant, the immediate and potentially life-threatening nature of thrombophlebitis makes it essential to monitor for this condition. Thrombophlebitis can lead to deep vein thrombosis (DVT) and even pulmonary embolism (PE) if clots dislodge and travel to the lungs. These risks highlight why thrombophlebitis should be considered a higher priority in patients confined to bed rest since it requires prompt intervention to prevent more severe complications.