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. Raise the head of the bed to 30 to 45 degrees.

While head elevation for comfort is acceptable, it is not the primary responsibility for CPM care.

B. Elevate the machine at the foot of the bed on one pillow.

The CPM machine should lie flat along the bed frame. Elevation on a pillow can cause misalignment or malfunction.

C. Set the proper flexion and extension limits.

The nurse must confirm that the machine is set according to the provider's orders for proper range of motion and to prevent injury.

D. Keep the operated knee warm.

While comfort is important, this is not a priority of CPM machine care and doesn't directly relate to its function.

A. 35 B. 25 C. 15 D. 5

Correct Answer is D

Explanation

A. 35

35 pounds is too much for skin traction. That much weight can damage the skin and soft tissues.

B. 25

While closer, 25 pounds is above the recommended limit for skin traction. Excessive weight may lead to skin breakdown.

C. 15

Though this might be used occasionally, it’s still considered on the higher side and usually reserved for very short-term use.

D. 5

The recommended weight for skin traction is 5–7 pounds, because the skin and soft tissues cannot tolerate heavier loads.

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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

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Correct Answer is C

Explanation

The nurse is aware that the maximum weight that can be applied with a skin traction is

Correct Answer is D

Explanation

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