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Massaging the legs of a client with DVT is contraindicated due to the risk of dislodging a thrombus, which could result in a pulmonary embolism. This action increases the risk of embolic events and must be avoided.

Antiembolic stockings should be removed at least once per shift (every 8 hours) to assess skin integrity and promote circulation. Leaving them on for 24 hours without removal can lead to skin breakdown and impaired perfusion.

Folding the stockings at the top can create a tourniquet effect, compromising circulation and increasing the risk of venous stasis. Stockings should be properly fitted and not altered in a way that impairs their function.

Repositioning the NG tube may be necessary if placement is incorrect, but it does not address the cause of hyperosmolar dehydration, which is related to the concentration and rate of the formula.

Increasing the rate of formula delivery can exacerbate hyperosmolar dehydration by overwhelming the GI tract’s absorptive capacity. Slower rates and diluted formulas are preferred in such cases.

Switching to a lactose-free formula is appropriate for clients with lactose intolerance, but it does not address the osmolarity issue causing dehydration. Osmolarity, not lactose content, is the primary concern here.

Frequently varying scheduled activities can be overstimulating and reduce the child’s ability to focus. Children with ADHD benefit from consistent routines and structured environments.

While handwriting may support memory retention, it does not necessarily improve concentration. The method of writing should be tailored to the child’s strengths and learning style.

Encouraging reading during outdoor activity periods may isolate the child and reduce opportunities for physical activity, which is beneficial for attention regulation in ADHD. Structured breaks are important.

Rescue breathing is an emergency intervention requiring immediate clinical assessment and skill. This task should be performed by licensed personnel trained in resuscitation protocols.

Providing home care instructions involves education and assessment, which fall within the scope of practice of a licensed nurse. APs are not qualified to deliver discharge teaching or care planning.

Suctioning a newly inserted tracheostomy is a complex procedure requiring sterile technique and airway assessment. This task must be performed by a licensed nurse or respiratory therapist.

Blood transfusion is reserved for severe anemia or acute blood loss. It is not a standard intervention during a well-child visit unless there is a critical indication, which would be evident in the clinical presentation or lab results.

Antibiotic therapy is indicated for active infections, not as a preventive measure during routine checkups. Without signs of infection, prescribing antibiotics would be inappropriate and contribute to antimicrobial resistance.

A protective environment is typically prescribed for immunocompromised individuals, such as those undergoing chemotherapy or with severe immunodeficiency. It is not relevant for a healthy toddler during a routine assessment.

Magnesium supplements are generally safe with spironolactone unless the client has renal impairment. They do not directly interact with the drug’s mechanism of action or pose a significant risk of electrolyte imbalance.

Iron does not interact significantly with spironolactone. While iron levels should be monitored in certain populations, it is not contraindicated with this medication.

Calcium supplementation is not contraindicated with spironolactone, although excessive intake may contribute to other metabolic imbalances. It does not pose the same immediate risk as potassium.

Back pain is not a hallmark symptom of endometritis. While discomfort may be present, it is more commonly associated with musculoskeletal strain or epidural-related issues postpartum.

Agitation is not a typical symptom of endometritis. It may occur in cases of severe infection or sepsis, but it is not a primary diagnostic indicator.

Bradycardia is not expected in endometritis. In fact, tachycardia is more common due to the systemic inflammatory response and fever.

A pudendal nerve block is typically used during the second stage of labor for perineal pain relief. It is not appropriate during the latent phase and does not address back pain caused by fetal positioning.

A warm bath may provide general comfort but is less effective for targeted relief of back pain during contractions. It is more appropriate during active labor or for relaxation.

Terbutaline is a tocolytic used to stop preterm labor. It is not indicated for pain management during the latent phase and could interfere with normal labor progression.

Rewrapping the bandage in a circular pattern can impair circulation and increase the risk of edema. A figure-eight or diagonal wrapping technique is preferred to promote venous return and shape the residual limb for prosthesis fitting.

An air mattress may be used for clients at high risk of pressure injuries, but it is not a standard intervention for all postoperative amputation clients unless additional risk factors are present.

Turning every 4 hours is insufficient for postoperative care. Standard practice recommends repositioning every 2 hours to prevent pressure ulcers and promote circulation.

Air should be injected into the NPH vial first, then into the regular insulin vial. This prevents contamination of the regular insulin with NPH, which could affect its pharmacokinetics.

Regular insulin should be withdrawn before NPH insulin to avoid contaminating the regular insulin vial with the longer-acting NPH insulin. This preserves the integrity of both medications.

Insulin vials should be gently rolled, not shaken. Shaking can denature the protein structure, especially in NPH insulin, leading to inconsistent dosing and reduced efficacy.