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: This observation suggests a visual deficit, possibly due to the stroke. A referral to an ophthalmologist or vision specialist (such as a neuro-optometrist) would be more appropriate in this case.
Choice B reason: Difficulty swallowing (dysphagia) is a common post-stroke issue and requires evaluation by a speech-language pathologist (SLP) to assess swallowing safety and prevent aspiration.
Choice C reason:This issue is related to mobility and strength, and a physical therapy referral would be more appropriate to improve balance, mobility, and ambulation.
Choice D reason:Occupational therapy focuses on helping individuals regain or adapt to difficulties in performing activities of daily living (ADLs), such as grooming, dressing, and eating. If a client is struggling with tasks like brushing their teeth due to fatigue, weakness, or motor difficulties, an occupational therapy referral is appropriate to address these challenges and promote independence.
Correct Answer is D
Explanation
Choice A reason: Calling the provider to discuss the partner's concerns may be part of comprehensive care, but it does not directly address the partner's immediate need for guidance on how to interact with the client.
Choice B reason: Encouraging the partner to wake the client to interact with family members is not appropriate. It is normal for a dying person to sleep more, and it is important to allow them to rest.
Choice C reason: Asking the provider to prescribe medication to minimize drowsiness is not appropriate in this context. Increased sleep is a common and natural part of the dying process, and it would not be beneficial to the client to be made more alert.
Choice D reason: Sitting quietly near the bedside provides comfort and support to both the client and the partner. It respects the natural process the client is going through and offers a peaceful presence.
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