The nurse is preparing to apply a patient's knee-high graduated compression stockings. Which of the following should the nurse do first?
Apply the stockings once the patient has gotten out of bed for the day.
Massage the patient's legs before application of the stockings.
Measure both patient's legs to determine the proper stocking size.
Assess the patient's pedal pulses before application of stockings.
The Correct Answer is C
A. Apply the stockings once the patient has gotten out of bed for the day. Compression stockings should be applied while the patient is still in bed, before they get up, to avoid issues with blood flow and to ensure proper fit.
B. Massage the patient's legs before application of the stockings. Massaging the legs before applying compression stockings can help in reducing swelling and ensuring proper application.
C. Measure both patient's legs to determine the proper stocking size. Measuring the legs is crucial to ensure that the stockings fit properly and provide the correct level of compression.
D. Assess the patient's pedal pulses before application of stockings. Checking pedal pulses is important to ensure adequate blood flow and to avoid complications with the use of compression stockings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Gait belt with handles: A gait belt can provide support and stability during transfers, but it is generally used for walking rather than transferring directly from bed to chair.
B. Lateral-assist transfer board: A lateral-assist transfer board can help with moving the patient from bed to chair by sliding, making it appropriate for this transfer scenario.
C. Powered stand-assist aid: A powered stand-assist aid is typically used to help patients who need assistance standing and could be appropriate if the patient requires more support during the transfer.
D. Powered full-body lift: A powered full-body lift is generally used for patients who cannot bear weight at all and would not be necessary for a patient who can bear weight on one leg and use a walker.
Correct Answer is D
Explanation
A. Decrease in muscle mass and strength: A decrease in muscle mass and strength is common with aging, known as sarcopenia. While it should be monitored, it is not necessarily an abnormal finding requiring further investigation unless it is severe or sudden.
B. Lower back and neck pain: Lower back and neck pain can be common with aging due to degenerative changes in the spine or other musculoskeletal issues. However, persistent or severe pain should be evaluated to rule out other causes.
C. Wrinkling and sagging skin: Wrinkling and sagging skin are normal aging changes related to decreased collagen and elastin in the skin. These changes are generally expected with aging.
D. Joint stiffness in fingers: Joint stiffness can be related to aging but may also indicate conditions like arthritis. If the stiffness is significant, persistent, or accompanied by other symptoms, it requires further investigation.
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