Author Question: The client has sequential compression stockings in place. The nurse evaluates that the stockings ... (Read 78 times)

OSWALD · **on:** Jul 22, 2018

The client has sequential compression stockings in place. The nurse evaluates that the stockings have been implemented appropriately by the new staff nurse when which of the following state-ments is true?

a. Initial measurement is made around the client's calves.
b. Intermittent pressure is set at 40 mm Hg.
c. Stockings are wrapped directly over the leg from ankle to knee.
d. Stockings are removed every hour during application.

Question 2

Because of an influenza epidemic among the nursing staff, a nurse has been moved from the ophthalmology unit to the general surgery unit. The supervisor recognizes that the nurse is inexperienced in this specialty.

What would be the nurse's initial recourse? a. Politely refuse to move, take the day off, and go home.
b. Ask to work with an experienced general surgery nurse.
c. Submit a report noting his dissatisfaction.
d. Notify the Canadian Nurses Association (CNA) of the issue.

carojassy25 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Inflation pressures average 35 to 45 mm Hg.
Initial measurement is made around the largest part of the client's thigh.
A protective stockinette is placed over the client's leg. Then the stocking is wrapped around the leg, starting at the ankle, with the opening over the patella.
Stockings are not removed every hour. For optimal results, SCD/IPCs are used as soon as possi-ble and maintained until the client becomes fully ambulatory. The stockings should be removed periodically to assess the condition of the client's skin.

Answer to Question 2

B

Feedback
A Refusing to accept an assignment may be considered insubordination; and patients will suffer if there is a reduction in the number of available staff.
B Nurses who float (are temporarily reassigned to another unit) should inform the supervisor of their lack of experience in caring for patients on a particular nursing unit. They also should request, and be given, orientation to the unit. Asking to work with an experienced general surgery nurse would be an appropriate action.
C The nurse can make a written protest to nursing administrators, but it should not be the nurse's initial recourse.
D Notifying the CNA should not be the nurse's initial recourse. The nurse should first notify the supervisor and request appropriate orientation and training.