A nurse is reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?
Knee-high stockings can be rolled down slightly to provide comfort.
I should flex my toes when applying the stockings.
I should reapply the stockings before I get out of bed.
The thigh-high stockings should reach just above the gluteal folds.
The Correct Answer is C
Choice A rationale
Rolling down knee-high stockings can cause constriction and impair blood flow, which is not the intended purpose of these stockings.
Choice B rationale
Flexing the toes when applying the stockings does not necessarily aid in the application or effectiveness of the stockings.
Choice C rationale
Antiembolic stockings should be reapplied before getting out of bed to ensure that they are in place to provide the necessary pressure to the legs when the client is upright. This helps to promote venous return and prevent blood pooling and clot formation.
Choice D rationale
Thigh-high stockings should reach just below the gluteal folds, not above. If they are too high, they can cause constriction and impair blood flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
Correct Answer is B
Explanation
Choice A rationale
Administering 5 mL of the available medication would only provide 12.5 mg of diphenhydramine, which is half the required dose. Therefore, this is not the correct choice.
Choice B rationale
The available medication is diphenhydramine syrup 12.5 mg/5 mL. To administer the required dose of 25 mg, the nurse would need to give 10 mL of the syrup. This is because 25 mg (required dose) divided by 12.5 mg (dose per 5 mL) equals 2. Therefore, 2 times 5 mL equals 10 mL. This is the correct choice as it provides the exact required dose.
Choice C rationale
Administering 15 mL of the available medication would provide 37.5 mg of diphenhydramine, which is more than the required dose. Therefore, this is not the correct choice.
Choice D rationale
Administering 20 mL of the available medication would provide 50 mg of diphenhydramine, which is double the required dose. Therefore, this is not the correct choice.
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