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 C

Explanation

A. Pitting edema: Pitting edema is a sign of fluid retention and is not specifically associated with hypokalemia.
B. Diplopia: Diplopia refers to double vision and is not typically associated with hypokalemia.
C. Muscle weakness: Hypokalemia can lead to muscle weakness due to the impaired function of skeletal muscles.
D. Hyperactive bowel sounds: Hyperactive bowel sounds can occur in conditions such as diarrhea but are not specific to hypokalemia.

A. Turn the newborn's head quickly to one side while they are sleeping. B. Place a finger in the newborn's palm. C. Clap hands after laying the newborn on a flat surface. D. Hold the newborn upright with one foot touching the crib surface E. None F. None

Correct Answer is C

Explanation

A. Turn the newborn's head quickly to one side while they are sleeping: This action does not elicit the Moro reflex. The Moro reflex is a response to a sudden loss of support, not a head-turning motion.

B. Place a finger in the newborn's palm: This action would elicit the palmar grasp reflex, not the Moro reflex.

C. Clap hands after laying the newborn on a flat surface: The Moro reflex is triggered by a sudden, loud noise or movement, such as clapping hands. This response causes the newborn to extend and then quickly flex the arms, a characteristic sign of the reflex.

D. Hold the newborn upright with one foot touching the crib surface: This action is not related to the Moro reflex. The stepping reflex is elicited by holding the newborn upright with their feet touching a surface, not the Moro reflex.

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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 in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia?

Correct Answer is C

Explanation

A nurse in the newborn nursery is collecting data about a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex?

Correct Answer is C

Explanation

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