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

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

Applying the stockings before the client gets out of bed

Asking the client to point their toes before applying the stockings

Turning the stockings inside out before applying them

Answer and Explanation

The Correct Answer is A

Choice A rationale:

This action requires intervention by the nurse. Antiembolic stockings should be smooth and free of creases to ensure even pressure distribution along the legs. Creases, especially if on the front of the legs, can lead to areas of increased pressure, which might compromise circulation and increase the risk of skin breakdown or clot formation.

Choice B rationale:

Applying the stockings before the client gets out of bed is correct. Antiembolic stockings should be applied before the client gets out of bed to prevent blood from pooling in the legs, which can help reduce the risk of deep vein thrombosis (DVT).

Choice C rationale:

Asking the client to point their toes before applying the stockings is a correct action. This helps in the proper fitting of the stockings and ensures they are applied smoothly without causing discomfort.

Choice D rationale:

Turning the stockings inside out (at least down to the heel) before applying them is a common technique to make it easier to position the stocking on the foot and leg properly. This method helps avoid excessive stretching of the stocking and ensures a better fit.

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Correct Answer is D

Explanation

The nurse should observe the client using the glucometer to assess their technique and accuracy. This is an example of a return demonstration, which is an effective teaching method for psychomotor skills.

A. "Eliminate berries and citrus fruits from your diet." B. "Take the iron supplement with green tea." C. "Increase your dietary fiber intake." D. "Avoid drinking milk with the iron supplement."

Correct Answer is D

Explanation

The correct answer is D.

Iron absorption is inhibited by calcium, which is found in milk and dairy products. Therefore, the nurse should advise the client to avoid drinking milk with the iron supplement. The nurse should also encourage the client to consume foods rich in vitamin C, such as berries and citrus fruits, which can enhance iron absorption.

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A nurse is supervising an assistive personnel (AP) who is applying antiembolic 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 home health nurse is reinforcing teaching with a client who has diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's use of a glucometer?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is at 16 weeks of gestation and has a prescription for ferrous sulfate to treat Iron-deficiency anemia. Which of the following recommendations should the nurse make to improve the absorption of the medication?

Correct Answer is D

Explanation

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