A nurse is caring for a client who has hearing loss. While communicating with the client, which of the following actions should the nurse take?

A. Determine if the stockings are binding. It is important to assess that antiembolic stockings are not too tight, especially around the top, as this can impair circulation. Proper fit ensures they function effectively to promote venous return and prevent deep vein thrombosis.
B. Fold the top of the stocking over neatly. Folding or rolling the tops can cause constriction and act like a tourniquet, reducing circulation and increasing the risk of complications such as venous stasis or skin breakdown.
C. Apply the stockings after the client is in a chair. Antiembolic stockings should be applied while the client is lying down, before getting up, to prevent blood pooling in the legs. Applying them after the client is upright may reduce their effectiveness.
D. Massage the client's legs once every 8 hr while the stockings are in place. Massaging the legs, especially in clients at risk for thrombosis, is not recommended as it could dislodge a clot and lead to embolism. Passive or active leg movement is safer and more effective.

A. "I can adjust the time and schedule for when it's convenient for you." While the nurse should respect the client’s preferences, medication timing must follow facility policy and the prescribed schedule, especially for time-sensitive drugs like vancomycin.
B. "I can infuse the medication at a faster rate." Vancomycin must be infused slowly (typically over at least 60 minutes) to prevent Red Man Syndrome and other complications. Increasing the rate can be dangerous and is not appropriate.
C. “I have up to 2 hours after the usual scheduled time to give you this medication." This aligns with standard medication administration policies, which generally allow for a 1-hour window before or after the scheduled time for most medications (and up to 2 hours depending on policy and the medication). This response shows appropriate clinical judgment and adherence to safe timing.
D. “I can start the medication 30 minutes earlier." While this may be acceptable in some cases, it doesn't fully address the client’s request for 2 hours earlier, nor does it reflect the standard administration window as accurately as option C.