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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "You sound frustrated, tell me more about this feeling." This response validates the patient’s feelings and opens up a discussion about their emotions, which provides support and helps address their psychological needs.

B. "You remind me of my mother, she is always frustrated when she is ill." This response is not focused on the patient’s needs and shifts attention away from their concerns.

C. "I am concerned about your mental health; I will call your family." While mental health is important, calling the family without first addressing the patient’s immediate concerns might feel intrusive or premature.

D. "You need to be more careful after this stroke or you could fall." This response addresses safety but does not provide emotional support or acknowledge the patient’s feelings of frustration.

A. Assess the patient for physiological indicators of pain. B. Observe the patient for behavior that is indicative of pain. C. Involve the patient in the pain assessment by asking more direct questions. D. Compare the patient's facial expression to a FACES pain scale.

Correct Answer is C

Explanation

A. Assess the patient for physiological indicators of pain. While assessing physiological indicators (such as increased heart rate, blood pressure, or sweating) can provide clues about pain, these signs are not always reliable and can be influenced by other factors. This option does not directly address the patient’s verbal and non-verbal communication about their pain.

B. Observe the patient for behavior that is indicative of pain. Observing the patient’s behavior can be helpful, but it is not sufficient on its own. The patient’s cultural background may influence how they express pain, and relying solely on observation might lead to underestimating their pain.

C. Involve the patient in the pain assessment by asking more direct questions. This is the best option because it respects the patient’s cultural background and encourages a more accurate and detailed assessment of their pain. By asking direct questions, the nurse can gain a better understanding of the patient’s pain experience and provide appropriate care.

D. Compare the patient's facial expression to a FACES pain scale. Using a FACES pain scale can be useful, especially for patients who have difficulty verbalizing their pain. However, this option does not involve the patient in a more detailed discussion about their pain, which is crucial given the cultural context and the patient’s reluctance to openly admit to pain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 caring for a patient with a new mobility deficit due to a recent stroke (CVA). The patient states, "I hate not being able to do simple things like walking by myself anymore." Which of the following responses provides the best support for the patient?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

The nurse is caring for a seriously ill patient with a terminal disease who states, "I do not want to eat anymore, I cannot prolong this agony." Which of the following interventions should the nurse do first?

The nurse is instructing a hospitalized patient about ways to perform isometric exercises. Which of the following exercises demonstrate appropriate instruction?

The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

The nurse is caring for a client who recently experienced the death of a partner. Which of the following statements would indicate to the nurse that the client is demonstrating appropriate coping strategies?

The nurse is repositioning a patient who has a spinal injury and notes reddened areas on the heels of both feet. The nurse should place the patient in which of the following positions?

The nurse is teaching a patient about good sleep hygiene habits. Which of the following information should the nurse include?

The home health nurse is visiting with a client with terminal cancer whose partner has become the primary caregiver. The partner states, "Maybe I will lose weight since I rarely have time to eat." Which of the following responses should the nurse make?

The nurse is assisting a client, from the bed into a wheelchair, who had a right-side below the knee amputation one day ago. The client states, "I will not be able to do much because of this wheelchair." The client is demonstrating which of the following defense mechanisms?