Difficulty: Medium
Average Score: 85%
Simulated
A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?
Correct answer
A
Rationale
Correct Answer: A
Rationale: Elevating the client's legs before applying antiembolic stockings helps promote venous return and reduces the risk of blood clots. This action enhances circulation and ensures the stockings are effective in preventing deep vein thrombosis. It demonstrates an understanding of the importance of proper positioning to optimize therapeutic outcomes.
Summary:
B: Instructing the client to dorsiflex their feet does not directly relate to the correct application of antiembolic stockings.
C: Massaging the client's legs before applying the stockings could potentially cause harm by dislodging blood clots.
D: Folding the top of the stockings over after applying them may cause constriction and impede blood flow.
Rationale: Elevating the client's legs before applying antiembolic stockings helps promote venous return and reduces the risk of blood clots. This action enhances circulation and ensures the stockings are effective in preventing deep vein thrombosis. It demonstrates an understanding of the importance of proper positioning to optimize therapeutic outcomes.
Summary:
B: Instructing the client to dorsiflex their feet does not directly relate to the correct application of antiembolic stockings.
C: Massaging the client's legs before applying the stockings could potentially cause harm by dislodging blood clots.
D: Folding the top of the stockings over after applying them may cause constriction and impede blood flow.