A nurse is preparing to apply a thigh-length sequential compression device for a client who is postoperative. Which of the following actions should the nurse take?

Wrap the sleeve loosely around the client's lower leg

Measure the circumference of the client's upper leg.

Turn on the mechanical unit prior to applying the sleeve

Position the client prone to apply the device.

Answer and Explanation

The Correct Answer is B

A. Wrap the sleeve loosely around the client's lower leg: The sleeve should fit snugly but comfortably to ensure effective compression. Wrapping it too loosely reduces efficacy in promoting venous return and preventing deep vein thrombosis. Proper fit is essential for device function and patient safety.

B. Measure the circumference of the client's upper leg: Measuring the thigh circumference ensures the correct sleeve size is selected, which is crucial for effective compression and prevention of pressure injury. Accurate sizing allows the device to deliver appropriate pressure without causing discomfort or circulatory compromise.

C. Turn on the mechanical unit prior to applying the sleeve: The device should remain off until the sleeve is properly positioned on the client. Activating it beforehand may result in improper inflation, skin injury, or ineffective compression. Turning it on too early can also startle the client and reduce comfort.

D. Position the client prone to apply the device: The client should be supine or with legs slightly elevated when applying a thigh-length sequential compression device. Prone positioning is unnecessary, uncomfortable, and can complicate proper sleeve placement. Supine positioning facilitates correct alignment and device effectiveness.

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Correct Answer is A

Explanation

A. The client has a sudden increase in energy: A sudden increase in energy in a client with major depressive disorder can indicate an elevated risk for suicidal behavior, especially if the client previously had low motivation or lethargy. This change is an urgent safety concern and should be reported immediately.

B. The client reports a change in sleeping patterns: Changes in sleep are common in depression and with antidepressant therapy. While important to monitor, they are not as immediately life-threatening as sudden energy changes that could precede suicidal actions.

C. The client is withdrawn and uncommunicative: Social withdrawal is a common symptom of depression. While concerning, it does not require the same urgent response as a sudden increase in energy that could indicate imminent risk.

D. The client neglects personal hygiene: Poor self-care is typical in depression and should be addressed in ongoing care, but it does not present the same immediate risk as potential suicidal behavior.

A. " I will give this medication to my child once daily in the evening." B. "I will give this medication to my child every 2 hours if he is wheezing C. "It takes 2 months of scheduled use before this medication is effective." D. "I can stop giving my child this medication if he is taking a steroid,"

Correct Answer is A

Explanation

A. "I will give this medication to my child once daily in the evening.": Montelukast is a leukotriene receptor antagonist taken once daily, usually in the evening, to prevent asthma symptoms. Administering it at the correct time supports consistent therapeutic levels and effective long-term asthma control.

B. "I will give this medication to my child every 2 hours if he is wheezing": Montelukast is not a rescue medication and should not be administered for acute asthma attacks. Using it every 2 hours for wheezing is inappropriate and could delay effective emergency treatment.

C. "It takes 2 months of scheduled use before this medication is effective.": Montelukast generally begins working within a few days to weeks, not two months. Delaying assessment of effectiveness for two months could lead to uncontrolled asthma symptoms.

D. "I can stop giving my child this medication if he is taking a steroid.": Montelukast can be used alongside inhaled or oral steroids to manage asthma and should not be discontinued without consulting the healthcare provider. Stopping it abruptly may reduce asthma control.

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A nurse is preparing to apply a thigh-length sequential compression device for a client who is postoperative. Which of the following actions should the nurse take?

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