A nurse is reinforcing teaching with a client regarding the application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

"I should flex my toes when applying the stockings."

"Kneehigh stockings can be rolled down slightly to provide comfort."

"I should reapply the stockings before I get out of bed."

"The thigh-high stockings should reach just above the gluteal folds."

Answer and Explanation

The Correct Answer is C

Choice A reason: Flexing toes when applying stockings is not a recommended practice as it does not ensure proper application.

Choice B reason: Rolling down knee-high stockings can impede blood flow and is not recommended.

Choice C reason: Reapplying the stockings before getting out of bed is correct to ensure they are worn during periods of immobility to prevent deep vein thrombosis.

Choice D reason: Thigh-high stockings should not reach just above the gluteal folds as this may indicate they are too short and could impede circulation.

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Correct Answer is ["1.5"]

Explanation

Step 1: Calculate the total amount of heparin needed per dose:

15,000 units ÷ 10,000 units/mL = 1.5 mL

1.5 mL of heparin with each dose.

A. A client who has a spinal cord injury and has a prescription for a condom catheter. B. A client who has immune thrombocytopenic purpura and a platelet count of 150,000/mm. C. A client who reports pain in his left calf and has a respiratory rate of 32/min. D. A client who requires a signed consent form prior to cardiac catheterization.

Correct Answer is C

Explanation

Choice A reason: While the client with a spinal cord injury does need care, it is not as immediately life-threatening as the symptoms described in choice C.
Choice B reason: A platelet count of 150,000/mm is within the normal range (150,000 to 450,000/mm), so this client's situation is not urgent.
Choice C reason: The client reporting pain in the left calf with an elevated respiratory rate could be experiencing a deep vein thrombosis (DVT) leading to a pulmonary embolism, which is a medical emergency.
Choice D reason: Obtaining a signed consent form is important but not as time sensitive as assessing and treating a potential DVT.

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A nurse is reinforcing teaching with a client regarding the application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

A nurse is prioritizing care for four clients. Which of the following clients should the nurse see first?

Correct Answer is C

Explanation

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