After applying pneumatic compression devices to bilateral lower extremities on a patient who is on bedrest, the patient asks what the purpose is of the device. How should the nurse respond to best address the patient's question?

"These help to get rid of clots that are in your legs that can cause problems."

"These help circulate air and provide compression to your legs."

"These will help you to perform passive range of motion to your legs."

"These will help to reduce the risk of developing a venous thrombus."

Answer and Explanation

The Correct Answer is D

A. "These help to get rid of clots that are in your legs that can cause problems." Pneumatic compression devices prevent clots; they do not treat existing ones.

B. "These help circulate air and provide compression to your legs." While compression is correct, the reference to circulating air is misleading, as the device improves blood circulation, not air movement.

C. "These will help you to perform passive range of motion to your legs." Pneumatic compression devices do not move the legs; they promote circulation through intermittent pressure.

D. "These will help to reduce the risk of developing a venous thrombus." Pneumatic compression devices improve venous circulation and prevent deep vein thrombosis (DVT), making this the most accurate response.

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Correct Answer is A

Explanation

A. Assess the patient: The priority action is to assess the patient for injuries before taking any further steps.

B. File a safety event report: This is important but should be done after assessing and ensuring the patient’s safety.

C. Place the patient on fall precautions: While necessary, this is a secondary intervention after assessment and ensuring immediate safety.

D. Get the patient back to bed: Moving the patient before assessing for injuries could worsen potential fractures or other injuries.

A. Inspect the patient's feet for a diabetic ulcer. B. Expose the full body to ensure efficiency. C. Encourage the patient to provide self-care. D. Apply baby powder to the perineal area and skin folds.

Correct Answer is C

Explanation

A. Inspect the patient's feet for a diabetic ulcer: Patients with obesity are at increased risk for skin breakdown, and foot ulcers may go unnoticed. Early detection prevents complications.

B. Expose the full body to ensure efficiency: Patients should be kept covered as much as possible to maintain dignity, privacy, and body temperature.

C. Encourage the patient to provide self-care: If the patient is able, self-care promotes independence and helps maintain mobility.

D. Apply baby powder to the perineal area and skin folds: Powder can clump and retain moisture, leading to skin irritation and fungal infections, especially in skin folds.

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After applying pneumatic compression devices to bilateral lower extremities on a patient who is on bedrest, the patient asks what the purpose is of the device. How should the nurse respond to best address the patient's question?

Nursing Test Bank

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