A nurse is supervising an assistive personnel (AP. who is applying anti-embolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

Applying the stockings before the client gets out of bed

Turning the stockings inside out before applying them

Asking the client to point their toes before applying the stockings

Ensuring that creases in the stockings are on the front of the client's legs

Answer and Explanation

The Correct Answer is D

Correct. Applying ant embolic stockings while the client is still in bed helps prevent venous stasis.
Incorrect. Turning the stockings inside out is not a correct step in the application process and should be corrected by the nurse.
Correct. Asking the client to point their toes helps ensure proper positioning of the stockings.
Ensuring that creases are on the front of the legs helps prevent pressure points.

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Correct Answer is B

Explanation

A. Incorrect. Placing the client in a supine position may impede drainage and is not recommended for a client with a chest tube.
B. Correct. Ensuring that the chest tube drainage system is kept below the level of the client's chest allows for proper drainage of fluid and prevents backflow of drainage into the client's chest.
C. Incorrect. The collection chamber should be emptied as needed to prevent overfilling, which could obstruct drainage.
D. Incorrect. Clamping the chest tube is not indicated for a client with a chest tube set to continuous suction, as it would interfere with the function of the drainage system.

A. "If you are allergic to gluten you should not receive this vaccine." B. "Avoid pregnancy for at least 28 days after receiving the vaccine." C. "Avoid breastfeeding for 3 days after receiving the vaccine." D. "Your partner should also receive the MMR vaccine."

Correct Answer is B

Explanation

A. "If you are allergic to gluten you should not receive this vaccine."Gluten allergy is not a contraindication for the MMR vaccine. The vaccine does not contain gluten, and an allergy to gluten would not prevent someone from safely receiving the vaccine. However, individuals with severe allergies to neomycin or gelatin (which are components of the vaccine) should not receive it.

B. "Avoid pregnancy for at least 28 days after receiving the vaccine."The MMR vaccine contains live attenuated viruses, and there is a theoretical risk to the fetus if a woman becomes pregnant shortly after vaccination. Therefore, it is recommended that women avoid becoming pregnant for at least 28 days after receiving the MMR vaccine to reduce any potential risks.

C. "Avoid breastfeeding for 3 days after receiving the vaccine."The MMR vaccine is safe for breastfeeding mothers and does not require any interruption in breastfeeding. The vaccine viruses are not transmitted through breast milk in a way that would harm the infant.

D. "Your partner should also receive the MMR vaccine."While it is important for all individuals to be up-to-date on their vaccinations, the partner's vaccination status is unrelated to the postpartum administration of the MMR vaccine to the client. This instruction does not address a specific concern related to the postpartum period or the MMR vaccine's administration at this time.

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A nurse is supervising an assistive personnel (AP. who is applying anti-embolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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