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.

Answer and Explanation

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.

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Correct Answer is ["B","D"]

Explanation

A. Clean skin using a side to side motion. The skin should be cleaned in a circular motion from the center outward to reduce the risk of infection.

B. Keep skin pinched while injecting medication. Pinching the skin helps create a small "pocket" for the injection, making it easier to administer the medication subcutaneously.

C. Apply firm pressure to the injection site. Applying firm pressure is not recommended immediately after the injection as it can cause discomfort and does not affect absorption. Gentle pressure is usually recommended.

D. Insert the needle at a 45 or 90-degree angle. For subcutaneous injections, a 45-degree angle is often recommended for thinner individuals, while a 90-degree angle is appropriate for those with more tissue.

A. "How would you describe your sleep problem?" B. "What types of sleep treatments have you tried?" C. "What do you think is the cause of the sleep problem?" D. "How does the sleep problem affect your everyday living?" E. "Don't you think when you get tired enough, you'll sleep well?"

Correct Answer is ["A","B","C","D"]

Explanation

A. "How would you describe your sleep problem?" Understanding how the patient describes their sleep problem provides insight into the nature of the disturbance and its potential causes.

B. "What types of sleep treatments have you tried?" Knowing what treatments have been tried helps identify what has or hasn’t worked and can guide further management.

C. "What do you think is the cause of the sleep problem?" Understanding the patient’s perspective on the cause can help in assessing their awareness and any possible underlying issues.

D. "How does the sleep problem affect your everyday living?" This question assesses the impact of sleep disturbances on daily life and overall well-being, providing context for the severity of the problem.

E. "Don't you think when you get tired enough, you'll sleep well?" This statement does not address the underlying problem and might dismiss the patient’s concerns. It is not useful in assessing or managing sleep disturbances.

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The nurse is preparing to apply a patient's knee-high graduated compression stockings. Which of the following should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering a subcutaneous injection to a client. Which of the following actions should the nurse take?

Correct Answer is ["B","D"]

Explanation

The nurse is reviewing sleep habits with a patient who reports difficulty sleeping. When evaluating sleep disturbances, the nurse should ask which of the following? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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