A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Elevates the client's legs before applying the stockings

Instructs the client to dorsiflex their feet while applying the stockings

Massages the client's legs before applying the stockings

Folds the top of the stockings over after applying them

Answer and Explanation

The Correct Answer is A

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legs is contraindicated as it may dislodge clots if present.

D. Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

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Correct Answer is C

Explanation

A. The ability to remove her own socks demonstrates motor skills development and independence, which are appropriate for an 18-month-old toddler.
B. Having a security blanket is a common comfort item for toddlers and is not typically a cause for concern.
C. The ability to say four words is below the expected language development milestone for an 18-month-old toddler, who should typically be saying 10 or more words by this age. Therefore, this finding should be reported to the provider for further evaluation.
D. Throwing a ball without falling demonstrates gross motor skills development, which is appropriate for an 18-month-old toddler.

A. Increase in calf size B. Capillary refill of 2 seconds C. Palpable cord-like vein D. Extremity feels cool to the touch

Correct Answer is C

Explanation

A. An increase in calf size can be a sign of deep-vein thrombosis (DVT), but it is not specific to
DVT and can occur with other conditions such as edema.
B. Capillary refill of 2 seconds is within the expected range and is not indicative of DVT.
C. A palpable cord-like vein is a classic sign of DVT and should be further assessed and reported for appropriate intervention.
D. An extremity feeling cool to the touch can be a sign of impaired circulation but is not specific to DVT and can occur with other vascular conditions.

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A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is 24 hr postoperative following a total knee arthroplasty. Which of the following findings on the operative leg should the nurse identify as a manifestation of a deep-vein thrombosis?

Correct Answer is C

Explanation

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