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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 B

Explanation

A. Allows for large traction weights to reduce the fracture.

Buck's traction uses light weights (5–10 lbs) and is not used for fracture reduction, but rather to relieve symptoms.

B. Reduces muscle spasm that accompanies fractures.

Buck's traction is commonly used preoperatively to reduce muscle spasm, pain, and to align the limb temporarily.

C. Helps the bone heal slowly.

It does not influence the speed of bone healing directly. Its purpose is mainly for temporary stabilization and symptom relief.

D. Does not cause skin disruptions.

While it's less invasive than skeletal traction, skin breakdown is still a risk, especially in older adults with fragile skin.

A. Elevate the foot. B. Encourage range-of-motion exercises of the foot. C. Provide the client with a light snack. D. Apply a compression bandage. E. Apply ice to the ankle.

Correct Answer is ["A","C","D","E"]

Explanation

A. Elevate the foot:

Elevation helps reduce swelling by promoting venous return.

B. Encourage range-of-motion exercises of the foot:

Movement should be limited until the injury is evaluated to prevent further damage.

C. Provide the client with a light snack:

This can be appropriate if there are no contraindications, especially if the client has been waiting and is hungry. It doesn’t worsen the injury and supports comfort.

D. Apply a compression bandage:

Compression helps reduce swelling and provides support to the injured joint.

E. Apply ice to the ankle:

Ice reduces inflammation and helps with pain management during the acute phase of a soft-tissue injury.

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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?

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Naxlex Comprehensive Predictor Exams

The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

Correct Answer is B

Explanation

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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