A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves.
Which of the following actions should the nurse take?
Assist the patient into a prone position.
Place a sleeve over the top of each leg with the opening facing up.
Make sure two fingers can fit under the sleeves.
Set the ankle pressure at 65 mm Hg. .
The Correct Answer is C
Choice A rationale
Assisting the patient into a prone position is not necessary for the use of thigh-length sequential compression sleeves. These devices are typically used while the patient is in bed or sitting in a chair.
Choice B rationale
Placing a sleeve over the top of each leg with the opening facing up is not the correct method for applying sequential compression sleeves. The sleeves should be applied so that they fit snugly and comfortably around the patient’s legs.
Choice C rationale
The nurse should ensure that two fingers can fit under the sleeves. This is to ensure that the sleeves are not too tight, which could impede blood flow and cause discomfort or injury to the patient.
Choice D rationale
Setting the ankle pressure at 65 mm Hg is not related to the use of sequential compression sleeves. The pressure settings for these devices are typically determined by the healthcare provider based on the patient’s specific needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Carrying a patient’s soiled linens out of the room in a mesh linen bag is not the most effective way to prevent the spread of infection. While it’s important to handle soiled linens properly to avoid contaminating oneself or the environment, this action alone does not have a significant impact on preventing the spread of infection among a group of patients.
Choice B rationale
Placing a patient who has tuberculosis in a room with negative-pressure airflow is a key measure in preventing the spread of this airborne infection. Negative-pressure rooms prevent
contaminated air from escaping the room and spreading to other areas, thereby protecting other patients and healthcare workers.
Choice C rationale
Providing disposable plates and utensils for a patient who is HIV-positive is not necessary for preventing the spread of infection. HIV is not transmitted through casual contact or through sharing food or utensils.
Choice D rationale
Disposing of a patient’s blood-saturated dressing in a trash bag inside a second trash bag is a good practice for handling biohazardous waste, but it is not the most effective measure for preventing the spread of infection among a group of patients.
Correct Answer is D
Explanation
Choice A rationale
Cucumbers are a good source of hydration due to their high water content, but they are not particularly high in potassium.
Choice B rationale
Corn is a versatile vegetable that provides a good source of fiber, but it is not particularly high in potassium.
Choice C rationale
Asparagus is a nutrient-rich vegetable known for its diuretic properties, but it is not particularly high in potassium.
Choice D rationale
Avocados are a nutrient-dense fruit that is high in healthy fats and also a good source of potassium. They are a great food choice for a client at risk for hypokalemia.
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