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A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Place the stockings on the client after the client ambulated to the restroom

Ensure the client's toes are visible after placing the stockings on the client

Measure the client's calf circumference and leg length from heel to knee.

After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Answer and Explanation

The Correct Answer is C

A. Place the stockings on the client after the client ambulated to the restroom.

Stockings should be applied before the client gets out of bed in the morning to prevent venous stasis and swelling.

B. Ensure the client's toes are visible after placing the stockings on the client.

Visible toes allow for monitoring of circulation, color, and temperature, which helps detect complications like restricted blood flow.

C. Measure the client's calf circumference and leg length from heel to knee.

Although the stocking should not constrict the toes, having them visible is not the primary indication of a proper fit. The focus is on ensuring proper compression around the calf and knee areas.

D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Unlike anti-embolism devices like TED hose, these stockings are meant to be snug to ensure adequate compression. The two-finger rule is more applicable to items like restraints, not compression stockings.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Take off the rubber tips of the crutches while using stairs.

Rubber tips provide traction and prevent slipping; they must remain in place.

B. Bring the good leg up first when going up stairs.

The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.

C. Move the good leg and the crutches together.

Crutches move with the affected (bad) leg, not the good one.

D. Rest the axillae on the axillary bar of the crutch.

This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.

A. Turn their foot and leg away from their other leg B. Move their left forward and up C. Move their leg medially toward their other leg D. Move their leg behind their body

Correct Answer is D

Explanation

A. Turn their foot and leg away from their other leg

This movement is called external rotation, not hyperextension.

B. Move their leg forward and up

This action is flexion of the hip.

C. Move their leg medially toward their other leg

This describes adduction, moving the limb toward the body's midline.

D. Move their leg behind their body

Hyperextension of the hip involves moving the leg backward beyond the normal range of extension.

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A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

Correct Answer is B

Explanation

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Correct Answer is D

Explanation

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