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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:Aspiration pneumonia is typically caused by inhalation of foreign material into the lungs rather than by contagious pathogens. Therefore, standard precautions are usually sufficient unless a secondary infection with a transmissible organism is present.
Choice B reason: Applying petroleum jelly to the client's nares may provide comfort but is not a priority in the care plan.
Choice C reason: Maintaining the client in a supine position is contraindicated as it can increase the risk of aspiration.
Choice D reason: Clients with hypoxia may experience symptoms such as confusion, restlessness, and dizziness, which can increase the risk of falls. Implementing fall precautions is a proactive measure to ensure patient safety in this context.
Correct Answer is A
Explanation
Choice A reason: The SemiFowler's position, with the head of the bed elevated, is recommended for patients with a closed head injury to decrease intracranial pressure[^10^].
Choice B reason: The prone position is not recommended for patients with a closed head injury as it can increase intracranial pressure.
Choice C reason: The Sims position is not typically used for patients with a closed head injury.
Choice D reason: The Modified Trendelenburg position is not recommended for patients with a closed head injury as it can increase intracranial pressure.
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