A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:

use metal clips to secure the wrap.

adjust the pressure or tension as needed.

overlap turns of the bandage equally.

face the patient and wrap from proximal to distal.

Answer and Explanation

The Correct Answer is B

A. Use metal clips to secure the wrap:

While metal clips are commonly provided with elastic bandages, they can easily become dislodged and may cause injury. Tape or self-adhesive wraps are often safer and more secure.

B. Adjust the pressure or tension as needed:

This allows for proper circulation and comfort. Bandages should be snug but not tight, and pressure may need to be adjusted for swelling or anatomical differences.

C. Overlap turns of the bandage equally:

This is a correct technique but not the most critical factor for effectiveness and safety. Equal overlapping helps provide uniform pressure, but adjusting tension as needed is more essential.

D. Face the patient and wrap from proximal to distal:

Wrapping should always go from distal to proximal to promote venous return and reduce edema. Wrapping proximal to distal is incorrect and can impair circulation.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Develops fatigue when assisting with morning hygiene care

Fatigue during hygiene suggests low endurance; not ready to ambulate safely.

B. Needs assistance raising her legs to put on socks

Needing assistance for simple tasks shows weakness and poor muscle control.

C. Performs active range-of-motion (ROM) exercises of all extremities

Performing full active ROM exercises indicates good muscle strength and coordination, suggesting readiness to attempt ambulation.

D. Demonstrates mild dyspnea when eating breakfast

Dyspnea with minimal activity (eating) indicates limited cardiopulmonary reserve-not yet fit to ambulate.

A. Determining the client's mobility B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel C. Introducing health care team members to the client D. Understanding the client's routine for his own care at home

Correct Answer is D

Explanation

A. Determining the client's mobility

Important for safety and fall prevention, but not the first priority during care planning.

B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel

This is part of orientation and education but does not help in personalized care planning.

C. Introducing health care team members to the client

While courteous and important for building rapport, it’s not the first step in individualized care planning.

D. Understanding the client's routine for his own care at home

This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.

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A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has required strict bed rest for 1 week. Which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

Correct Answer is C

Explanation

A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?

Correct Answer is D

Explanation

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