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A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Place the stockings on the client after the client ambulated to the restroom

Ensure the client's toes are visible after placing the stockings on the client

Measure the client's calf circumference and leg length from heel to knee.

After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Answer and Explanation

The Correct Answer is C

A. Place the stockings on the client after the client ambulated to the restroom.

Stockings should be applied before the client gets out of bed in the morning to prevent venous stasis and swelling.

B. Ensure the client's toes are visible after placing the stockings on the client.

Visible toes allow for monitoring of circulation, color, and temperature, which helps detect complications like restricted blood flow.

C. Measure the client's calf circumference and leg length from heel to knee.

Although the stocking should not constrict the toes, having them visible is not the primary indication of a proper fit. The focus is on ensuring proper compression around the calf and knee areas.

D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Unlike anti-embolism devices like TED hose, these stockings are meant to be snug to ensure adequate compression. The two-finger rule is more applicable to items like restraints, not compression stockings.

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Correct Answer is A

Explanation

A. False

The statement is false because all listed effects are known complications of prolonged immobilization.

A. Hyperextension B. Lateral flexion C. Rotation D. Flexion

Correct Answer is D

Explanation

A. Hyperextension

Hyperextension refers to bending backward beyond the normal range.

B. Lateral flexion

Lateral flexion involves bending the neck to the side, ear toward shoulder.

C. Rotation

Rotation refers to turning the head side-to-side (e.g., shaking head “no”).

D. Flexion

Touching the chin to the chest is flexion of the neck-bending forward.

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A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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