A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Elevates the client's legs before applying the stockings

Instructs the client to dorsiflex their feet while applying the stockings

Massages the client's legs before applying the stockings

Folds the top of the stockings over after applying them

Answer and Explanation

The Correct Answer is A

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legs is contraindicated as it may dislodge clots if present.

D. Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

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Correct Answer is B

Explanation

A. Checking the client’s heart rate on the oximeter may provide additional data but does not address the low oxygen saturation or guide immediate intervention.
B. Comparing the result with the baseline reading helps determine if the 88% saturation is a sudden drop or consistent with the client’s usual oxygenation status, guiding further actions.
C. Decreasing the amount of oxygen would be inappropriate, as the client is already experiencing low oxygen saturation. Increasing oxygen may be necessary based on provider orders.
D. Performing another reading while the client ambulates could further decrease oxygen levels and is not an appropriate immediate action. Oxygenation should be assessed at rest before considering exertion.

A. Administer bupropion 1 hr before meals. B. Allow the client access to food throughout the day. C. Weigh the client once weekly. D. Observe the client for 1 hr after meals.

Correct Answer is D

Explanation

A. Incorrect. Bupropion is not typically used as a first-line treatment for bulimia nervosa. Additionally, administering it before meals is not a standard practice for managing bulimia nervosa.
B. Incorrect. Allowing the client unrestricted access to food throughout the day may exacerbate binge-eating behaviors associated with bulimia nervosa. Structured meal plans are typically recommended instead.
C. Incorrect. While monitoring weight is important in the management of bulimia nervosa, weighing the client once weekly may not provide adequate monitoring, as fluctuations in weight can occur more frequently.
D. Correct. Observing the client for a period after meals helps to prevent purging behaviors, such as self-induced vomiting or misuse of laxatives, which are common in bulimia nervosa. This intervention allows for immediate intervention if purging behaviors are observed and can help ensure the client's safety.

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A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has obtained a client's oxygen saturation measurement of 88% on 2 liters of oxygen via nasal cannula. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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