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Showing 15 questions, Sign in for moreWhat term would the nurse use to identify the strong, flexible, inelastic fibrous bands and flattened sheets of connective tissue that attach muscle to bone?
The nurse is assisting a patient with conditioning exercises to prepare for ambulation. The nurse correctly instructs the patient to do what?
In many situations, a patient has sufficient strength to walk if he or she can do which of the following?
Mrs. Eden tells the nurse she feels faint while walking in the corridor with the nurse. What should the nurse do?
The use of patient care ergonomics is associated with which of the following patient outcomes?
Which of the following should the nurse do when assisting the patient to ambulate?
When working with an older patient to develop an exercise program, the nurse would recommend which of the following?
A client weighs 250 pounds and needs to be transferred from the bed to a chair. Which instruction by the nurse to the unlicensed assistive personnel (UAP) is most appropriate?
A nurse is teaching a client about active range-of-motion (ROM) exercises. The nurse then watches the client demonstrate these principles. The nurse would evaluate that teaching was successful when the client does which of the following?
Performance of activities of daily living (ADLs) and active range of-motion (ROM) exercises can be accomplished simultaneously as illustrated by which of the following? Select all that apply
The client is ambulating for the first time after surgery. The client tells the nurse, “I feel faint.” Which is the best action by the nurse?
Before transferring a patient from the bed to a stretcher, which assessment data does the nurse need to gather? Select all that apply
A 51-year-old adult comes to a medical clinic for an annual physical exam. The patient is found to be slightly overweight and reports being inactive, walking only 2 to 3 times a week with his wife after work. He has good muscle strength and coordination of lower extremities. Which of the following recommendations from the Physical Activity Guidelines for Americans should the nurse suggest? Select all that apply
Family members have asked for a meeting with the nursing staff of an assisted living residential center to discuss the feasibility of their mother using a walker. The family is worried that her health is declining; they wonder whether she can use the walker safely. Which of the following instructions should the nurse give the family after assessing that it is safe for the woman to use a walker? Select all that apply
A patient has an order for application of compression stockings. Place the following steps for application of the compression stockings in the correct order:
Explanation
Compression stocking application,is an important nursing intervention used to prevent venous thromboembolism (VTE) and reduce venous stasis in immobile patients. Proper sizing, correct technique, and smooth application are essential to maintain circulation and prevent complications such as skin breakdown or constriction.
Rationale for correct answers:
Step 1-- 2. Use tape measure to measure patient’s leg for proper stocking size.
Accurate measurement ensures the stockings fit correctly. Ill-fitting stockings can cause impaired circulation or fail to provide adequate compression.
Step 2-- 4. Turn elastic stocking inside out, keeping hand inside holding heel. Take other hand and pull stocking inside out until reaching the heel.
This step prepares the stocking for easier and smoother application, ensuring the heel and toe portions are properly aligned.
Step 3—1. Place patient’s toes into foot of stocking up to the heel; keep smooth.
Starting at the toes ensures proper fit and alignment. The fabric should remain smooth to prevent skin irritation or pressure injury.
Step 4—5. Slide remaining portion of stocking over patient’s foot, covering toes. Be sure foot fits into toe and heel of stocking.
This step ensures the stocking conforms to the foot’s shape and provides even pressure distribution.
Step 5-- 3: Slide stocking up over patient’s calf until sock is completely extended.
Pulling the stocking smoothly up the leg completes the process and ensures proper compression without folds or wrinkles that may impede circulation.
Take-home points
- Compression stockings prevent venous stasis and thrombus formation in clients with limited mobility or at risk for DVT.
- Proper sizing and smooth application technique are vital to ensure therapeutic effectiveness and prevent circulatory impairment.
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